MedicaidReimbursementMedium impact
Attention Provider Type 93 (Substance Use Treatment): New Residential Substance Use Disorder (SUD) Bundled Rates for Level 3 Providers (Updated January 23, 2025)
Nevada Medicaid·NV · Psychiatry·Provider Enrollment
We identified it
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.
Action Required
Monitor 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). Update billing system with new rates once Nevada MMIS system is updated. Verify mapping to appropriate ASAM levels (3.1, 3.5, 3.7WM respectively).