# Sai Treatment Centers Residential mental health and substance use treatment in Reno, Nevada. Residential treatment homes in Reno, Nevada for adolescents (12–17) and adults. Physician-led. Awake staff 24 hours a day. Licensed and certified by the Nevada Division of Public and Behavioral Health. Sister outpatient practice: Sai Mental Health (https://saimentalhealth.org). Content last reviewed 2026-09-10. Contact: (775) 800-1136 (call or text, answered 24 hours a day). 2840 Sandestin Dr, Reno, NV 89523. If someone is in immediate danger, call 911 or 988; we admit directly from emergency rooms and hospitals. ## Programs ### Adolescent Residential (Ages 12–17) A licensed residential home for teenagers whose depression, anxiety, trauma, self-harm, or substance use has grown past what weekly therapy can hold. Teens live here with awake staff around the clock, see a psychiatrist on site, and keep up with school. - Setting: A real house in a Northwest Reno neighborhood, not a hospital unit - Staffing: Licensed clinicians, nurses, and mental health technicians, awake overnight - Psychiatry: On-site evaluation and medication management by a child and adolescent psychiatrist - School: Daily academic block coordinated with the teen's home school - Family: Weekly family therapy plus scheduled calls and visits A representative day: - 7:00 — Wake up, medications with the nurse, breakfast made in the kitchen - 8:30 — Community meeting: how did last night go, what is today's goal - 9:30 — Process group with a licensed therapist - 11:00 — Individual therapy, or a psychiatry check-in - 12:30 — Lunch, then downtime - 13:30 — School block: assignments from the home school, tutoring support - 15:00 — Art, music, or recreation; outdoor time in the yard - 17:30 — Dinner together, chores, family phone call window - 20:00 — Skills group or reflection, then wind-down; lights out by 21:30 ### Adult Residential (Ages 18+) An eight-bed home for adults with alcohol or drug addiction, behavioral addictions, and the depression, anxiety, trauma, or bipolar disorder that so often travel with them. Withdrawal management is available on site, so the first days are supervised and safe. - Setting: Eight beds. Small enough that every staff member knows every resident - Withdrawal: Clinically managed residential withdrawal management (ASAM 3.2-WM) with nursing oversight - Psychiatry: Psychiatric evaluation and medication management on site - Therapy: Daily groups, weekly individual sessions, family sessions when wanted - Step-down: Partial hospitalization (ASAM 2.5) before returning to daily life A representative day: - 7:00 — Wake up, vitals and medications with the nurse, breakfast - 8:30 — Community meeting and daily intentions - 9:30 — Process group: relapse prevention, DBT skills, or trauma-informed work - 11:00 — Individual therapy, psychiatry, or case management (work, legal, housing) - 12:30 — Lunch and free time - 13:30 — Psychoeducation or skills group - 15:00 — Recreation, exercise, or recovery meeting - 17:30 — Dinner, chores, phone window - 20:00 — Evening reflection or 12-step / SMART meeting; lights out by 22:00 ## Levels of care, side by side - Residential: Lives at our home; 24 hours a day; Typically 30–90 days. Right when: Safety is a concern, outpatient care has not been enough, or the home environment cannot support recovery right now. Provided by: Sai Treatment Centers. - Withdrawal management: Lives at our home; 24 hours, nursing oversight; Usually 3–7 days, then residential. Right when: Adults who will have physical withdrawal when they stop alcohol, opioids, or benzodiazepines. Provided by: Sai Treatment Centers. - Partial hospitalization (PHP): Sleeps at home; About 6 hours a day, 5 days a week; 2–4 weeks. Right when: Stepping down from residential, or stable enough at night but needs a full clinical day. Provided by: Sai Treatment Centers. - Intensive outpatient (IOP): Sleeps at home; About 3 hours a day, 3–5 days a week; 6–12 weeks. Right when: Can keep school or work going, needs more than weekly therapy. Provided by: Sai Mental Health. - Outpatient therapy and psychiatry: Sleeps at home; Weekly or biweekly; Ongoing. Right when: Stable, safe, and building on progress. Provided by: Sai Mental Health. ## What we treat Substance use: Alcohol, Opioids and fentanyl, Methamphetamine and stimulants, Cocaine, Cannabis, Kratom and emerging substances, Gambling and other behavioral addictions. Mental health: Depression and suicidal thoughts, Anxiety and panic, PTSD and trauma, Self-harm, Bipolar disorder, OCD, Borderline personality disorder, ADHD alongside any of the above. ## Insurance and cost In network: Aetna, Anthem Blue Cross Blue Shield, Cigna, UnitedHealthcare, Optum, UMR, Hometown Health, Prominence Health Plan, SilverSummit Healthplan (Medicaid), CareSource (Medicaid), Anthem Medicaid. Out-of-network benefits and single-case agreements are pursued for other plans. Private pay is available with a written all-inclusive quote before admission. We help with Nevada Medicaid enrollment or reinstatement. Benefits are usually verified within 24 to 48 hours. Prior authorization is requested and managed by our team; denials are appealed including physician-to-physician review. One provider, one statement, no surprise bills. ## Admissions - Call, text, or request a callback: You reach a person who does this every day. Tell us what is going on. We listen first. - A short clinical screening: Twenty minutes, confidential, by phone. We confirm residential is the right level, and that we can genuinely meet the need. If we cannot, we tell you who can. - Benefits verified and explained: Usually within 24 to 48 hours. You hear the deductible, the out-of-pocket limit, and whether authorization is required, before you commit to anything. - Admission: A scheduled arrival, or same-day when safety requires it. We admit directly from emergency rooms and hospitals. ### The first 72 hours **Before arrival — The phone call** - You speak with an admissions coordinator, not a call center. Expect 15 to 20 minutes. - We ask what is happening, what has been tried, and what medications are involved. - We verify insurance, usually within 24 to 48 hours, and tell you what we learn in plain language. - We send a short packing list and an arrival time. If you need same-day help, say so. **Day 1 — Arrival** - A staff member meets you at the door. Belongings are checked for safety, respectfully and with the resident present. - A nursing assessment: vitals, medication reconciliation, withdrawal screening for adults. - A tour of the house and the bedroom, a meal, and an introduction to the other residents. - Families leave with the name and direct line of their point of contact. **Day 2 — Evaluation** - Psychiatric evaluation with the psychiatrist, including any medication changes. - A full clinical assessment with a licensed therapist. - First groups. Nobody is asked to share more than they are ready to. - For teens, we contact the school to arrange assignments. **Day 3 — The plan** - A written treatment plan with goals the resident helped set. - A first family update, and the first family session is scheduled. - An estimated length of stay, which we revisit every week with you and with the insurer. - The routine takes over. Most residents say the third day is when the house starts to feel like theirs. ## Safety and accountability **Is someone awake at night?** Yes. Staff are awake and on the floor overnight, every night. Bedroom checks happen on a set schedule, more often for anyone on a safety watch. **Who handles medications?** Nurses. All medications, including over-the-counter ones, are stored securely and administered by nursing staff according to the psychiatrist's orders. Nothing is self-managed. **Is the home licensed and inspected?** Yes. Sai Residential Treatment Center is licensed and certified by the Nevada Division of Public and Behavioral Health, and is subject to state inspection and complaint investigation. We would rather you ask us about our record than wonder. **What happens if a resident tries to leave?** This is a home, not a locked facility, and we say that plainly. Staff follow a written protocol: verbal de-escalation first, immediate notification of the family or guardian, and coordination with local authorities when a minor's safety requires it. Elopement risk is assessed on day one and again whenever circumstances change. **How are staff screened?** Every employee passes a state background check and fingerprinting before working with residents, and completes training in crisis de-escalation, suicide prevention, medication safety, and mandated reporting. **How do I reach my person, or reach you about them?** Families get a named point of contact with a direct line. Residents have scheduled phone windows daily. If something happens outside those windows, we call you. We do not wait for you to call us. ## Medical Director Dharmendra Goyal, MD, is a board-certified psychiatrist with subspecialty training in child and adolescent psychiatry and 18+ years of practice in Reno, Nevada (NPI 1972918498). He founded Sai Mental Health as an outpatient practice and opened the residential homes; he remains the treating psychiatrist for both homes. ## For parents of teenagers A licensed residential home in Reno where your teenager lives with awake staff around the clock, sees a child and adolescent psychiatrist on site, keeps up with school, and comes home with a plan the whole family understands. ### Practical guidance **What to pack** - Five to seven days of comfortable clothes; laundry is on site - Toiletries without alcohol as a listed ingredient; no aerosols or glass - Current medications in original pharmacy bottles - Insurance card and a photo ID if they have one - School login details and any current assignments - A few photos or a comfort item from home - Leave at home: phones, tablets, smartwatches, vapes, anything with a cord, hoodies with drawstrings **Telling your teen** - Say it once, calmly, and do not negotiate the decision, only the details - "This is not a punishment. This is because I am not willing to lose you." - Expect anger. It usually is fear. You do not have to fix it in the driveway - Tell them the concrete things: it is a house, there is a yard, you will talk every day - If you need help with the conversation, call us first. We do this weekly **Your role during treatment** - Weekly family therapy, in person or by video - Daily scheduled calls; we will tell you the window - Honest updates from a named point of contact, not a switchboard - A discharge plan you help write, including what changes at home - Aftercare with our sister practice, Sai Mental Health, so nothing restarts from zero ### Frequently asked questions **Will my kid hate me for this?** Some are angry on day one. Almost none are angry on day thirty. Teens who arrive furious usually settle within the first week once they realize the house is calm, the rules are consistent, and the adults are not going anywhere. Family therapy is where that anger gets worked through, with a therapist in the room. **What if they refuse to go?** Call us anyway. A parent or legal guardian can consent to treatment for a minor in Nevada, and we have admitted many teens who did not want to come. We will talk you through how to say it, what to expect at drop-off, and what we do in the first hours to lower the temperature. If the situation at home is unsafe right now, we can also help you decide whether the emergency room should come first. **Can they keep their phone?** No, not for the first stretch. Phones are secured on arrival. Contact with family happens through scheduled daily calls and visits, and phone privileges are reintroduced as part of the treatment plan. Every parent worries about this. Most tell us later it was the single most helpful rule. **Will they fall behind in school?** There is a school block every weekday. We contact the home school in the first days, receive assignments, and send work back. Credits continue. If the school has been part of the problem, that is something we can plan around together. **How often can I visit or call?** Scheduled phone calls daily and visits on set days each week, adjusted with the treatment team. You also have a family session with the therapist weekly and a named point of contact with a direct line. **How long will they be there?** Most adolescent stays run 30 to 90 days. Length is clinical, not fixed. We set an estimate in the first week and review it with you and the insurer regularly. **Is it locked? Is it safe?** It is a licensed home in a residential neighborhood, not a locked unit, and we say that plainly. Staff are awake overnight, medications are nurse-managed, and there is a written protocol if a teen tries to leave. See the safety section below for the specifics. ## For adults seeking care for themselves An eight-bed residential home in Reno for adults who need more than an hour a week. Withdrawal managed on site by nurses. A psychiatrist who has actually met you. A house where someone is awake and paying attention. ### Practical guidance **What to pack** - A week of comfortable clothes, plus something for exercise; laundry is on site - Toiletries without alcohol as an ingredient; no aerosols, no glass - All current medications in original pharmacy bottles - Insurance card, photo ID, pharmacy and doctor contact information - A notebook. Most people are glad they brought one - Leave at home: electronics with cameras, vapes, weapons, anything containing alcohol, valuables **Before you come in** - Work: ask us about FMLA and short-term disability before you tell anyone; the paperwork is ours to handle - Children and pets: we will help you think through coverage; do not let this be the reason you wait - Court or probation: we coordinate with officers and provide attendance documentation - Bills: set up autopay or a trusted person for the month; phone windows exist for the rest - If you are drinking or using daily, do not stop abruptly on your own. Call us first **What you are agreeing to** - Daily groups and weekly individual therapy; attendance is expected, not optional - Nurse-managed medications, including over-the-counter - Random drug screens, which protect the community you are joining - Chores, meals together, and a schedule that starts at 7:00 - A discharge plan you help write, and continuing care afterward ### Frequently asked questions **Will I lose my job?** Most people do not. If you have worked for a covered employer for at least a year, the Family and Medical Leave Act protects up to 12 weeks of job-protected leave for treatment, and your employer is not entitled to know the diagnosis. We complete the paperwork with you in the first days. Many people also use short-term disability. Ask us before you say anything to HR. **Do I have to detox somewhere else first?** Usually not. Our adult program is certified for clinically managed residential withdrawal management, with nursing oversight and a physician directing the protocol. If your history includes seizures, delirium tremens, or serious medical conditions, we may arrange hospital-level detox first and admit you directly from there. **Can I keep my phone?** Phones are secured on arrival and returned in stages as part of your plan. You have daily phone windows from day one and can make arrangements for children, pets, or work before you come in. We are honest that this rule is hard for the first few days, and honest that it works. **What does it cost?** With in-network insurance, your cost is your deductible and copay or coinsurance up to your out-of-pocket maximum, and we tell you those numbers before you admit. With Nevada Medicaid it is usually nothing. Without insurance, we give you a written private-pay quote up front. No surprise bills. **How long is a stay?** Typically 30 to 90 days, then a step-down to partial hospitalization or intensive outpatient. Insurers authorize in blocks and review progress; we handle those reviews and tell you where things stand every week. **Is this a 12-step program?** It is an evidence-based clinical program: DBT, CBT, motivational interviewing, trauma-informed care, and psychiatry. Twelve-step and SMART Recovery meetings are available because they help many people. They are not a requirement. **What if I relapse after?** Relapse is a signal, not a verdict. You leave with a written plan, a therapist and psychiatrist at Sai Mental Health, and a number to call. People come back. We do not make them start over. ## For family and friends Two residential homes in Reno, one for teenagers and one for adults, where the person you love is safe, supervised, and treated by clinicians and a psychiatrist who know their name. And where you get a role, a contact, and straight answers. ### Practical guidance **Bringing it up** - Pick a sober, calm moment. Not during a crisis, not in front of others - Say what you have seen, not what they are. "I found you unconscious twice this month" lands. "You're an addict" does not - Have one concrete next step ready: "I have the number. I will drive you. Today or tomorrow, your choice" - Do not argue with excuses. Repeat the concern and the offer - Call us before the conversation. We will help you plan it and be ready when they say yes **What you can do today** - Call us and describe what you are seeing; you do not need their permission to ask questions - Find out whose insurance they are on and photograph the card if you can - Write down medications, substances, and any recent hospital visits - Remove firearms and stockpiled medications from the home - Save 988 in your phone. It is for you, too **Taking care of yourself** - Al-Anon and Nar-Anon meet in Reno weekly, in person and online - NAMI Northern Nevada runs Family-to-Family, a free eight-week class - Individual therapy through Sai Mental Health, in network with most plans - You are allowed to set limits. Limits are not abandonment ### Frequently asked questions **They won't admit there's a problem. What can I do?** For an adult, treatment cannot be forced except through a court process, and we will tell you honestly when that applies. What you can do is call us and describe what you are seeing. We will help you plan a conversation, tell you which words tend to land and which slam the door, and be ready the hour they say yes. For a minor, a parent or guardian can consent. **Can I call and talk to them?** With the resident's consent, yes, during daily phone windows. Adults control who is on their contact list under federal privacy law. For teens, parents and guardians have scheduled calls and visits from day one. **Will you tell me how they're doing?** For an adult, only with their written permission, which most residents give to at least one person. For a minor, parents and guardians receive regular updates from a named point of contact and join weekly family therapy. **What is my role while they're there?** Family sessions when the treatment team and the resident invite you, honest participation in them, and a discharge plan you help shape. Many families use this time for their own support: Al-Anon, Nar-Anon, NAMI Family-to-Family, or individual therapy through Sai Mental Health. **What if they leave early?** Adults can leave against clinical advice; we tell them clearly what we recommend and stay in contact afterward. For a minor, staff follow a written protocol and notify the guardian immediately. Either way, the door back is open. **Should they go to the ER first?** If there is an overdose, a suicide attempt, a plan to attempt, seizures, or violence, yes: call 911 or go to the nearest emergency room now. We admit directly from emergency rooms and hospitals. Call us from there. ## For referring professionals State-certified ASAM 3.5 residential and 3.2-WM withdrawal management for adults, adolescent residential for ages 12 to 17, and ASAM 2.5 partial hospitalization for step-down. Physician-led. Direct admits from EDs and inpatient units. ### Practical guidance **Referral checklist** - Patient demographics and guardian contact for minors - Insurance card, front and back - Current medication list and allergies - Most recent H&P, discharge summary, or psychiatric evaluation - Safety history: suicide attempts, self-harm, elopement, violence - Substance history and last use, for withdrawal planning - Signed release of information naming your organization **How to reach admissions** - Call (775) 800-1136 and ask for admissions; identify yourself as a referring provider - Records: fax or secure email, details provided on the call - Direct admits from EDs and inpatient units, seven days a week - Expect a call back within the hour during business hours **What we send back** - Admission confirmation within 24 hours of arrival - Treatment plan summary in the first week - Discharge summary with medications, diagnoses, and aftercare appointments - Attendance and progress documentation for courts and probation as authorized ### Frequently asked questions **What do you need to accept a referral?** Demographics and insurance, a current medication list, the most recent H&P or discharge summary if there is one, and a brief clinical picture including safety history. A phone call is enough to start; documents can follow by fax or secure email. **How fast can you admit?** Same day when a bed is open and safety requires it; otherwise within a few days once benefits are verified. Call for current availability. We admit directly from emergency departments and inpatient units seven days a week. **Which levels of care are you certified for?** Adults: ASAM 3.5 clinically managed high-intensity residential, ASAM 3.2-WM clinically managed residential withdrawal management, and ASAM 2.5 partial hospitalization. Adolescents 12 to 17: residential treatment. Intensive outpatient and outpatient psychiatry are provided by our sister practice, Sai Mental Health. **Exclusion criteria?** Acute medical instability requiring hospital-level care, active psychosis or mania not yet stabilized, imminent suicidality requiring a locked unit, and predatory or violent behavior that cannot be safely managed in an open home. We will tell you quickly if a referral is not a fit, and where to send it instead. **Will you communicate during treatment?** Yes, with a signed release. Referring providers receive an admission confirmation, a treatment plan summary, and a discharge summary with the aftercare plan. Court and probation officers receive attendance and progress documentation as authorized. **Do you take Medicaid?** Yes. SilverSummit, CareSource, and Anthem Medicaid, plus fee-for-service Nevada Medicaid where applicable. Prior authorization is handled by our team. ## Guides ### Does My Teenager Need Residential Treatment? Seven Signs Parents Should Not Ignore https://saitreatmentcenters.com/guides/does-my-teen-need-residential-treatment — Updated 2026-09-10. Reviewed by Dharmendra Goyal, MD. Most parents who call us have already asked themselves the same question for months: is this just being a teenager, or is this something more? The honest answer is that adolescence is hard, most struggling teens do not need residential care, and some do. What follows is how we tell the difference on the phone. #### 1. Safety has come up, even once A statement about not wanting to be alive, a self-harm injury, a search history about methods, a bottle of pills moved from the cabinet. One of these is enough to change the conversation from "more therapy" to "what level of supervision does this child need tonight." If there is a plan and the means to carry it out, the answer is the emergency room, not a website. Call 911 or 988. Residential care can follow, and we admit directly from hospitals. #### 2. Weekly therapy has been tried in good faith and it has not held Outpatient therapy is the right first step for almost everyone. It stops being enough when a teen is too dysregulated to use the hour, refuses to go, or is doing the work in the room and unraveling the other 167 hours of the week. If a therapist or psychiatrist has raised the words "higher level of care," they usually mean it. #### 3. An emergency room visit or hospital stay in the last few months A psychiatric hospitalization stabilizes a crisis. It is not treatment. Teens discharged after three to seven days back into the same room, the same school, and the same phone often return within weeks. Residential care is the middle rung that gives a stabilization somewhere to go. #### 4. School has collapsed Not slipping grades. Collapse: weeks of refusal, a suspension for substances, an inability to leave the bedroom in the morning. School refusal in a formerly functioning teen is one of the strongest single predictors that outpatient care is not going to be enough on its own. #### 5. Substance use has moved from experimentation to reliance Using most days, using alone, using to sleep or to get through school, or an overdose. Vaping cannabis daily at fourteen is not a phase in the way parents remember from their own adolescence; today's products are many times stronger, and daily use in a developing brain is a clinical problem. Where alcohol, benzodiazepines, or opioids are involved, medical assessment comes before anything else. #### 6. The home cannot keep them safe Sneaking out at night, running away, violence toward a sibling, or a household so exhausted that nobody is awake at 3 a.m. anymore. None of this is a judgment on parents. It is a description of why 24-hour staffing exists. #### 7. Your gut, plus one of the above Parents underestimate far more often than they overreact. If you are reading an article like this at all, something is already telling you the situation is beyond ordinary. Trust that, and let a clinician check it. #### What residential treatment actually is, and is not At Sai Treatment Centers, adolescent residential care means a licensed home in a Reno neighborhood with awake staff overnight, a child and adolescent psychiatrist on site, a school block every weekday, daily groups, weekly individual and family therapy, and a typical stay of 30 to 90 days. It is not a locked unit, a boot camp, or a wilderness program. It is a house with a routine and adults who do not leave. #### What to do next - If there is immediate danger, call 911 or go to the nearest emergency room now. - Otherwise, take our two-minute Care Finder on the home page. It is private and it will tell you honestly if residential is not indicated. - Call (775) 800-1136. A twenty-minute screening call is where the real answer comes from, and there is no obligation. ### Residential vs. PHP vs. IOP vs. Outpatient: Levels of Care Explained in Plain English https://saitreatmentcenters.com/guides/residential-vs-php-vs-iop-explained — Updated 2026-09-10. Reviewed by Dharmendra Goyal, MD. Treatment providers talk in acronyms and insurers talk in ASAM numbers. Families are left guessing which level of care is being recommended and why. Here is the whole ladder, bottom to top, with the honest tradeoffs at each rung. #### Outpatient therapy and psychiatry One session a week, sometimes two, plus medication management every few weeks. You live your life and treatment fits into it. This is the right place to start for most people, and the right place to return to after any higher level. Provided in Reno by our sister practice, Sai Mental Health. #### Intensive outpatient (IOP): about 9 to 12 hours a week Three hours a day, three to five days a week, usually in the late afternoon so school or work can continue. Groups, some individual work, family sessions. IOP is the right level when weekly therapy is not enough but the person is safe at home and able to hold a routine. Typical length is six to twelve weeks. Sai Mental Health runs an adolescent IOP. #### Partial hospitalization (PHP, ASAM 2.5): a full clinical day About six hours a day, five days a week, sleeping at home. PHP is a full treatment day: groups, individual therapy, psychiatry, nursing. It is used two ways: as a step down from residential so the return home is gradual, and as a step up for adults who need a great deal of structure but whose home is safe at night. We provide PHP for adults. #### Residential (ASAM 3.5): 24 hours a day Living at the treatment home. Every hour is structured, from a 7 a.m. wake-up to lights out. Medication is managed by a psychiatrist who has met the resident. The pull of the old environment is removed long enough for new habits to take hold. Residential is indicated when safety is a concern, when lower levels have not held, or when the home cannot support recovery right now. Typical stays run 30 to 90 days. We provide residential care for adolescents 12 to 17 and for adults. #### Withdrawal management (ASAM 3.2-WM): the first days, supervised Clinically managed residential withdrawal management, sometimes called social detox with nursing oversight. Vitals and symptoms are monitored around the clock under a physician's protocol, and the resident moves into residential treatment when they are through the acute phase, usually three to seven days. It is for adults who will have physical withdrawal from alcohol, benzodiazepines, or opioids. People with a history of seizures or delirium tremens need hospital-level medical detox first; we arrange that and admit directly afterward. #### Inpatient psychiatric hospitalization: the top rung, briefly A locked hospital unit for acute danger: an attempt, a plan with means, psychosis, or medical instability. Stays are short, typically three to seven days, and the purpose is stabilization, not treatment. Hospitals in Reno discharge to us directly. #### How the level gets chosen A good program chooses the least disruptive level that is still enough, and steps up quickly when that level fails. The screening call at Sai Treatment Centers is twenty minutes and ends with a recommendation, which is sometimes a lower level than the caller expected. Insurers use the same ASAM criteria to authorize care, which is why the clinical picture on that call matters. #### A rule of thumb - Safe at home, functioning, needs help: outpatient. - Safe at home, not functioning, weekly is not enough: IOP. - Safe at night, needs a full clinical day: PHP. - Not safe, not functioning, or the home is part of the problem: residential. - Physical withdrawal expected: withdrawal management first, then residential. - Immediate danger: emergency room, then whichever of the above fits. ### Does Nevada Medicaid Cover Residential Treatment? What Families Need to Know https://saitreatmentcenters.com/guides/nevada-medicaid-residential-treatment-coverage — Updated 2026-09-10. Reviewed by Dharmendra Goyal, MD. Short answer: yes. Nevada Medicaid covers residential treatment for substance use and mental health conditions for both adolescents and adults, with prior authorization, and there is usually no cost to the family. The longer answer is about which plan you have and how the authorization actually works. #### Which Nevada Medicaid plans we accept Most Nevadans on Medicaid are enrolled in a managed care plan. Sai Treatment Centers is in network with SilverSummit Healthplan, CareSource, and Anthem Medicaid. If your card says one of those names, residential care is a covered benefit. If you are on fee-for-service Medicaid, call us; coverage is generally available and we will confirm. #### What prior authorization means Before admission, we send the plan a clinical summary showing that residential care is medically necessary under ASAM criteria. The plan approves an initial block of days. While the resident is with us, we submit progress reviews and request extensions. You do not call the insurer. If a review is pending, we tell you before it becomes a problem. #### What it costs Nevada Medicaid has no deductible and no coinsurance for covered behavioral health services, so for most families the cost is nothing. We do not bill separately for physicians, nursing, or labs; there is one provider and one statement, and with Medicaid that statement is usually zero. #### If coverage has lapsed Medicaid eligibility is reviewed periodically and people lose coverage without realizing it, often because a renewal letter went to an old address. We can check status the same day and help with reinstatement or a new application before admission. Coverage can start quickly. Do not let a lapsed card be the reason someone waits. #### If you do not have Medicaid and think you might qualify Eligibility in Nevada is based on household income and size. Many working adults and most children in lower-income households qualify. We will help you apply. While the application is pending, we can discuss private-pay arrangements so treatment does not wait on paperwork. #### For teens on a parent's Medicaid A minor's coverage follows the household plan. A parent or guardian consents to treatment. Authorization works the same way, and the adolescent residential program is a covered benefit under the plans listed above. #### What to have ready when you call - The Medicaid or managed-care plan card, front and back, or the member ID number - Date of birth of the person needing care - A short description of what has been happening and any recent hospital visits - Current medications, if known Call (775) 800-1136 or use the callback form. We usually have an answer on coverage within 24 to 48 hours, often sooner for Medicaid. ### What to Pack for Residential Treatment (and What to Leave at Home) https://saitreatmentcenters.com/guides/what-to-pack-for-residential-treatment — Updated 2026-09-10. Reviewed by Dharmendra Goyal, MD. Packing is the one part of admission that families can control, and it tends to absorb all the anxiety. Here is the list we send after the screening call, with the reasons behind the rules so they make sense. #### Bring - Five to seven days of comfortable, weather-appropriate clothing. Laundry is done in the home, so more is not better. - Sleepwear, slippers or house shoes, and one pair of closed-toe shoes for outdoor time. - Toiletries in plastic containers, with no alcohol listed as an ingredient (mouthwash and some hair products are the usual surprises). No aerosols, no glass. - All current medications in their original pharmacy bottles with the label intact, including inhalers, vitamins, and anything over the counter. Nurses store and administer everything. - Insurance card, photo ID, and for adults, pharmacy and primary care contact information. - For teens: school login details and any current assignments, so the school block can start on day one. - A notebook and pen. A few photos. One comfort item, such as a pillow or blanket from home. - Reading material, if wanted. A modest amount of cash is not needed; personal funds are held in a ledger and returned at discharge. #### Leave at home - Phones, tablets, smartwatches, laptops, and anything with a camera. Phones are secured on arrival and returned in stages; contact with family happens through daily scheduled calls. - Vapes, nicotine products, and anything containing alcohol or cannabis, including CBD. - Weapons of any kind, including pocket knives and multitools. - Anything with a cord longer than a few inches, and for adolescents, hoodies and sweatpants with drawstrings. This is a safety rule, applied to everyone. - Valuables, jewelry, and large amounts of cash. - Revealing clothing or clothing with drug, alcohol, or violent imagery. #### What happens to belongings on arrival A staff member goes through bags with the resident present, respectfully. Anything on the leave-at-home list is either sent home with the family that day or held in a labeled, secured bin and returned at discharge. Money and valuables are logged in a ledger that the resident signs, and returned within 24 hours of discharge. #### If you forgot something Families can drop off approved items during visiting windows. Toiletries and basic clothing are kept in the home for anyone who arrives with nothing, which happens more often than you would think, and is never a problem.