MedicaidAdministrativeMedium impact
Attention Provider Type (PT) 17 (Special Clinics) Specialties 171 (Methadone) and 215 (Substance Use Agency Model (SUAM) and PT 93 (Substance Use Treatment): New PT 93 Specialties Available for Enrollment on July 1, 2024
Nevada Medicaid·NV · Psychiatry·Provider Enrollment
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid introduced a new Provider Type 93 (Substance Use Treatment) available for enrollment starting July 1, 2024. Existing substance use providers can transition from Provider Type 17 specialties to PT 93, but must use new authorization numbers on claims and follow new billing requirements.
Action Required
By July 1, 2024: Nevada substance use treatment providers must enroll in new PT 93 through the Online Provider Enrollment portal using their NPI. Update billing system to use new authorization numbers for transferred prior authorizations when submitting PT 93 claims. Monitor for new PT 93 Billing Guides on the Billing Information webpage for updated requirements.