MedicaidReimbursementMedium impact
Attention Provider Type 17 (Special Clinics) Specialty 188 (Certified Community Behavioral Health Clinic): Annual Medicare Economic Index (MEI) Rate Adjustment Implemented
Nevada Medicaid·NV · Psychiatry·Reimbursement
Effective date
Jul 1, 2026
We identified it
Jun 30, 2026
Summary
Nevada Medicaid has implemented an annual Medicare Economic Index (MEI) rate adjustment for Certified Community Behavioral Health Clinics (CCBHCs) effective July 1, 2026. This is a go-forward rate change affecting procedure code T1040; no retroactive reprocessing will occur.
Action Required
By July 1, 2026: Billing team must verify the updated reimbursement rate for CPT T1040 (Medicaid certified community behavioral health clinic services, per diem) in the Nevada Medicaid fee schedule and update billing system with the new MEI-adjusted rate. Apply the new rate to all claims with dates of service on or after July 1, 2026. Confirm rate change in your practice management system and billing software. Obtain the specific rate adjustment percentage from Nevada Medicaid to ensure accurate claim submission. No retroactive action is needed for prior claims.