Nevada Medicaid

MedicaidNV

ABA billing requirements · Source: Nevada Medicaid — ABA Billing Guidelines PT85

High confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth durationN/A

Renewal auth durationN/A

Submission deadline15 days

Unit tracking cadenceWeekly

Requires FBA Yes

Diagnostic eval validityN/A

Re-eval cadenceEvery 6 months

State licensure requiredBCBA state licensure required via NV Board of Examiners for Marriage and Family Therapists

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsBaseline data, Target behaviors, Methods

Progress summary cadenceEvery 6 months

Policy Notes

Focused Delivery Model: 15-25 hours per week. Comprehensive Delivery Model: 25-40 hours per week. Supervision is allowed up to 20% of the treatment hours. Assessments are limited to one every 180 days.

CPT & Modifier Rules

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View H-codes, modifiers, unit limits, and billing restrictions for Nevada Medicaid.

Official policy source:Nevada Medicaid — ABA Billing Guidelines PT85

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Data last verified: 2026-03-01 · Confidence: High · See our methodology

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