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Nevada MedicaidMedicaid · Reimbursement · Provider Enrollment · NV · PsychiatryMedium impact

Attention Provider Type 93 (Substance Use Treatment): New Residential Substance Use Disorder (SUD) Bundled Rates for Level 3 Providers (Updated January 23, 2025)

Effective date
Not stated in the notice
Identified
Jun 21, 2026

Summary

Nevada Medicaid has approved new bundled daily rates for residential substance use disorder treatment services for Level 3 providers. Three HCPCS codes (H0018, H0019, H0011) now have specific approved daily rates ranging from $259.00 to $472.02, with system updates pending to implement the new rates.

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What to do

Action · 3 steps
01Monitor for Nevada Medicaid system updates: Billing teams treating Nevada Medicaid patients for substance use disorders must watch for implementation of new bundled rates for codes H0018 ($259.00/day), H0019 ($341.94/day), and H0011 ($472.02/day).
02Update billing system with new rates once Nevada MMIS system is updated.
03Verify mapping to appropriate ASAM levels (3.1, 3.5, 3.7WM respectively).

Codes mentioned

H0018H0019H0011

Original notice

Attention Provider Type 93 (Substance Use Treatment): New Residential Substance Use Disorder (SUD) Bundled Rates for Level 3 Providers (Updated January 23, 2025)
medicaid.nv.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Nevada Medicaid changes →
Further Clarification of Certain Billing Procedures for Substance Use Treatment ServicesHighEffective Sep 11, 2026 · Billing & CodingAttention Provider Type 93 (Substance Use Treatment): Substance Use Treatment Procedure Codes H0011, H0018, and H0019 Open for BillingMediumEffective Jul 31, 2024 · Billing & CodingAttention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment), and 93 (Substance Use Treatment): Substance Use Treatment and Behavioral Health Procedure Codes Available for Billing (Updated)HighEffective Jul 1, 2024 · Billing & CodingBrowse every Nevada Medicaid change in the policy list

Related policy hubs

Nevada Medicaid policiesNV policy changesPsychiatryCode H0018Code H0019Code H0011

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