Drug and Alcohol Rehabs in Nevada That Accept Medicaid

Does Nevada Medicaid Cover Rehab for Drugs and Alcohol?

Nevada Medicaid provides some coverage for drug and alcohol treatment, however, not all rehab facilities in Nevada accept Medicaid. In 2020, 81.7% of the facilities in Nevada accepted Medicaid as a form of payment for substance use treatment, which means the cost of treatment may be partially or fully covered by benefits.⁷

Your specific coverage depends on your plan. However, the Mental Health Parity and Addiction Equity Act (MHPAEA) prohibits insurance coverage for mental health and substance use disorders from being more restrictive than coverage provided for other medical and surgical conditions. This includes copays and out-of-pocket maximums, limitations on services, and the criteria used to make medical necessity determinations.⁸

MHPAEA specifically states that Medicaid and CHIP must comply with the parity requirements for mental health and substance use disorders.⁸

What Types of Treatment May Be Covered by Nevada Medicaid?

There are a variety of types of treatment for drug and alcohol addiction that may be covered under your Nevada Medicaid plan, including:⁹

• Early intervention/prevention/screening. Early intervention and prevention covers 1 screening per 90 days per disorder with no prior authorization required.
• Outpatient services. Up to 26 sessions for teens and adolescents or 18 sessions for adults may be covered for outpatient individual, group, or family counseling or psychotherapy services under Medicaid before a prior authorization is required. Post-authorization may not be required for substance misuse crisis intervention. Additionally, peer support services may be used for 18 hours without needing prior authorization.
• Intensive outpatient programs (IOPs). Aside from 24-hour substance use crisis intervention situations or substance use screenings, prior authorization is required for IOPs.
• Partial hospitalization programs (PHPs). Prior authorization is required unless the PHP is used for 24-hour crisis intervention or substance use screening.
• Managed residential care. Similar to Medicaid’s coverage of outpatient services, Nevada Medicaid may cover up to 26 sessions for teens and children or 18 sessions for adults of residential care services before prior authorization is required. In situations of substance misuse crisis intervention, post-authorization may not be required. Additionally, peer support services may be used for 18 hours without needing a prior authorization. The intensity of services is dependent upon each patient’s situation and needs.
• Medically managed intensive inpatient services. For medically managed inpatient treatment, Medicaid recipients will need to obtain prior authorization for care coverage.
• Withdrawal management in the form of medication for addiction treatment. Medicaid may cover prescription drugs used to help combat opioid or other substance addiction. Drugs may be subject to prior approval, and there may be limitations imposed on the quantity or type of drug used.

Does Nevada Medicaid Cover Mental Health?

Nevada Medicaid is required to provide coverage for the treatment of conditions related to severe mental illness and for the treatment of drug or alcohol misuse.¹⁰ The plan provides reimbursement for community-based mental health services under a combination of care that includes mental health rehab and therapy if your physician or other healthcare practitioner recommends the treatment.⁵

To get mental healthcare using your Nevada Medicaid benefits, start by talking to your primary care physician, who can help you find a covered provider.