Nevada Medicaid psychological testing coverage: codes, limits and prior authorization
The short answerNevada Medicaid requires prior authorization for test administration and scoring (96136 to 96139), neuropsychological evaluation (96132, 96133) and automated testing (96146). Psychological evaluation 96130 and 96131 do not need PA, but a psychological testing PA request must include one unit of 96130 and one unit of 96136 or 96138.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Nevada. Public policy, not the member's benefits.
Nevada Medicaid
Provider Type 26 Billing Guide, Psychologist (updated 01/12/2026) · Nevada
| 96130 | Listed (no prior authorization required for the evaluation codes themselves) [1] |
|---|---|
| 96131 | Listed (no prior authorization required for the evaluation codes themselves) [1] |
| 96132 | Listed (prior authorization required) [1] |
| 96133 | Listed (prior authorization required) [1] |
| 96136 | Listed (prior authorization required) [1] |
| 96137 | Listed (prior authorization required) [1] |
| 96138 | Listed (prior authorization required) [1] |
| 96139 | Listed (prior authorization required) [1] |
| 96146 | Listed (prior authorization required) [1] |
| Visit limits | A psychological testing PA request must include one unit of 96130 and one unit of 96136 or 96138. A neuropsychological request must include one unit of 96132 and one unit of 96136 or 96138. [1] |
| Prior authorization | PA is required for 96136 to 96139 (psychological and neuropsychological), 96132 and 96133, and 96146. The request must show medical necessity and units must not exceed the reasonable time to answer the referral question. Forms: FA-10A psychological, FA-10B neuropsychological, FA-10D automated testing. [1] |
| Who can bill | Provider type 26 enrolls psychologists, neuropsychology, child and adolescent psychology, clinical psychology, psychological assistants, interns and trainees under specialty codes. [1] |
- Nevada Medicaid: Provider Type 26 Billing Guide, Psychologist (updated 01/12/2026), checked October 30, 2026
What Nevada Medicaid's documents say
The table above has every field we found for Nevada Medicaid, with numbered sources. In short:
- Prior authorization. PA is required for 96136 to 96139 (psychological and neuropsychological), 96132 and 96133, and 96146. The request must show medical necessity and units must not exceed the reasonable time to answer the referral question. Forms: FA-10A psychological, FA-10B neuropsychological, FA-10D automated testing.
- Visit limits. A psychological testing PA request must include one unit of 96130 and one unit of 96136 or 96138. A neuropsychological request must include one unit of 96132 and one unit of 96136 or 96138.
- Who can bill. Provider type 26 enrolls psychologists, neuropsychology, child and adolescent psychology, clinical psychology, psychological assistants, interns and trainees under specialty codes.
- Codes. 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139 and 96146 are listed.
Codes we checked at Nevada Medicaid
What Medicaid's own text says about one code: 96130 and 96132.
Check Nevada Medicaid's claim against the row
Before the claim goes out, compare it with the row above: the evaluation and administration codes pair the way the policy says, the hours fit any cap, the referral question is documented, and prior authorization covers the units. The psychological testing table compares Medicaid with every other payer we checked.