Rehabs That Take Nevada Check Up

What Does Nevada Check Up Pay For in Rehab?

The basic Nevada Medicaid state plan benefits, with minor exceptions, which puts substance use and mental health treatment inside the coverage rather than beside it. Nevada’s demonstration waiver for substance use treatment includes children’s program enrollees, so the levels of care the state built out under that waiver are the ones a child can be authorized for.

A national floor sits under that. Children’s coverage has had to pay for treating a broad range of mental health and substance use conditions since late 2019, delivered in a culturally and linguistically appropriate way, and any ceiling the state sets on how much treatment a child receives must be passable where there is medical need. Behavioral health limits also cannot be tighter than the limits on medical and surgical care.

Withdrawal Management and Residential Care

Because the benefit tracks the Nevada Medicaid state plan, the residential and withdrawal management services the state authorizes for adults are the starting point for a child, with age-appropriate placement decided clinically. Residential billing through Nevada Medicaid excludes room and board, so ask the admissions team how that part of a stay in residential rehab is handled before a child is admitted.

Counseling, Day Programs and Telehealth

Weekly counseling, a structured day program and an intensive outpatient program are the usual rungs for an adolescent, and no national cap on visits has been published for coverage of this kind. Nevada’s geography makes telehealth part of the answer for a family hours from Las Vegas or Reno, and the plan can say what it authorizes remotely.

Medication treatment for opioid use disorder has to be covered where it is clinically appropriate for a child, and no individual drug is named in the national guidance, so the formulary question belongs to Nevada Medicaid and to the plan. Ask which medication assisted treatment options are listed for the child’s age before a prescriber appointment is booked.

How Is the Level of Care Decided?

Through a clinical assessment against published criteria rather than a flat benefit rule. Nevada Medicaid rebuilt its substance use treatment authorization form, its enrollment checklists and its billing guides around the fourth edition of the ASAM Criteria, in force from August 1, 2026 and enforced from September 1, 2026, so an authorization request filed now is read against that edition.

National guidance for children’s coverage points to the same family of tools, naming the ASAM level of care criteria alongside the Child and Adolescent Service Intensity Instrument and the Child and Adolescent Needs and Strengths tool as ways a child’s intensity of need is scored. In practice the clinician’s assessment, not the parent’s preference, is what the plan reads.

Which Health Plans Deliver Nevada Check Up?

Nevada runs the coverage through managed care plans that also hold Nevada Medicaid, so the card names a plan rather than the state program. Health Plan of Nevada, Anthem Blue Cross and Blue Shield Healthcare Solutions and CareSource all carry Nevada Check Up, and SilverSummit Healthplan operates on the Medicaid side of the same market.

Health Plan of Nevada

Health Plan of Nevada carries Nevada Medicaid and Nevada Check Up in Clark and Washoe counties, on 1-800-962-8074. Behavioral health runs through Behavioral Healthcare Options rather than the medical side of the plan, which is the number a family needs for an authorization. The plan sits inside UnitedHealthcare, and the Health Plan of Nevada page sets out how its rehab coverage works.

Anthem Blue Cross and Blue Shield Healthcare Solutions

Anthem delivers Nevada Medicaid and Nevada Check Up under the Healthcare Solutions name, with member services on 844-396-2329 and TTY on 711. Pre-certification runs on a separate line, 844-396-2330, and live chat is open Monday to Friday from 8 a.m. to 6 p.m. Pacific. Anthem states that covered services carry no copayment for its members.

CareSource

CareSource began its Nevada Medicaid and Nevada Check Up contract on January 1, 2026, covering Clark, Washoe and the rural counties, and was the only nonprofit selected for the award. Member services runs on 833-230-2058, Monday to Friday from 7 a.m. to 5 p.m. Pacific, and the plan states there is no copay for any medical or behavioral health service, behavioral health being managed in house.

Who Can Enroll a Child in Nevada Check Up?

Nevada children from birth through age 18 who are uninsured and not eligible for Nevada Medicaid. Published state material puts the income ceiling at 200 percent of the federal poverty level, against 138 or 165 percent for children’s Medicaid depending on age, and applications are filed through the Division of Welfare and Supportive Services at any time of year.

Nevada runs both program designs at once, so the same application sorts a child into Medicaid or into Nevada Check Up without the family choosing. Four district offices take questions in person or by phone: Las Vegas on (702) 668-4200, Reno on (775) 687-1900, Carson City on (775) 684-3660 and Elko on (775) 753-1191. The state Medicaid hotline is (800) 992-0900.

How Much Does Nevada Check Up Cost a Family?

A quarterly premium of $25, $50 or $80 per family, set by gross income and billed per family rather than per child, due on January 1, April 1, July 1 and October 1. There are no copayments, no deductibles and no other charges on covered care. Members of federally recognized tribes are exempt from the premium.

That is unusually plain for children’s coverage, and it means the cost of a course of treatment is not the family’s problem once a child is enrolled and authorized. The figures below are what the same care costs on the open market, which is the gap the coverage closes.

Nevada prices run above the national middle. State market research puts medical detox at $1,750 to $5,600 a week, or $250 to $800 a day; residential care at $7,000 to $35,000 a month, or $230 to $1,170 a day; partial hospitalization at $8,000 to $16,000 a month; intensive outpatient at $3,000 to $11,000 a month, or $100 to $370 a day; and standard outpatient at $1,500 to $6,000 a month. Nevada Check Up and Medicaid rehab billing pay state rates instead of those, while a family with no coverage looks at low cost options, a sliding scale or state-funded care. Authorization through the plan remains the gate.

Is Nevada Check Up the Same as Nevada Medicaid?

No, but the benefit is nearly the same. Nevada Check Up is the separate children’s program, with its own quarterly premium and its own eligibility band for children birth through 18, while Nevada Medicaid covers low-income adults, pregnant women and families with children. The services a child receives track the Medicaid state plan with minor exceptions.

The family tree above both runs to the federal level rather than to a company: the Centers for Medicare & Medicaid Services sets the requirements and Nevada’s Medicaid agency operates the program. The state FAQ also names Katie Beckett, a premium-billed eligibility route, so a child who does not fit Nevada Check Up is not necessarily out of options.

Where Can I Find Treatment That Bills Nevada Check Up?

Use the provider search for the plan named on the card, then confirm by phone: Health Plan of Nevada on 1-800-962-8074, Anthem on 844-396-2329 or CareSource on 833-230-2058. Ask whether the program treats the child’s age group, who files the authorization, and whether the request is written on the current Nevada form.

Programs that accept Nevada Check Up and state children’s coverage are gathered on the Nevada Medicaid page, with the wider Nevada directory, mental health treatment and the children’s health insurance pages alongside it. Each listing shows the levels of care offered, the payments the program says it accepts, licensing and accreditation shown where The Joint Commission or CARF lists the facility, and how far the site sits from the nearest airport.

References and Citations

• Nevada Division of Health Care Financing and Policy — Nevada Check Up eligibility for children birth through 18, quarterly premium amounts and due dates, tribal exemption, and the billing and district office contacts.
• Nevada Medicaid — provider announcements on the substance use treatment authorization form, enrollment checklists and billing guides aligned to the fourth edition of the ASAM Criteria, 2026.
• Centers for Medicare & Medicaid Services — guidance to state health officials on behavioral health benefits in separately designed children’s coverage, including the assessment tools named for deciding a child’s level of care.
• Member and contract material from Health Plan of Nevada, Anthem Blue Cross and Blue Shield Healthcare Solutions and CareSource — service areas, member service hours and numbers, pre-certification line and cost sharing statements.
• RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.