Behavioral Health

Nevada Medicaid reimburses for community-based mental health services to both children and adults under a combination of mental health rehabilitation and medical/clinical therapy. These behavioral health services must be recommended by a physician or other licensed practitioner. The services are intended to help reduce the effects of a physical or mental disability and to restore the Medicaid recipient to the best possible functioning level. The most common types of services provided in the arena of behavioral health are Basic Skills Training (BST), Psychosocial Rehabilitation (PSR), and Day Treatment. The MFCU can investigate and confirm information that behavioral health providers are not providing services as indicated on documentation that is used to support a Medicaid claim for service. These providers can then be prosecuted for Medicaid fraud.

    Click the links below for press releases of individuals prosecuted for behavior health fraud.