Nevada Medicaid Plans (Managed Care)
Nevada Medicaid provides healthcare coverage for eligible low-income individuals and families through a mix of fee-for-service and managed care models. Most Medicaid beneficiaries in urban counties are required to enroll in one of Nevada’s contracted Managed Care Organizations (MCOs), which deliver physical, behavioral, and pharmacy benefits. Managed care is designed to coordinate care, reduce administrative burdens, and improve health outcomes for Medicaid members statewide.
As of 2024, Nevada contracts with two primary MCOs for its Medicaid managed care program. These plans operate in Clark and Washoe counties and are responsible for helping members access covered services, understand benefits, and navigate the healthcare system. Medicaid eligibility is based on income, age, disability status, pregnancy, and household size. Coverage may include doctor visits, hospital care, prescriptions, maternity services, and more.
Managed Care Organizations (MCOs)
| Plan Name | Website | Contact |
|---|---|---|
| Anthem Blue Cross and Blue Shield Healthcare Solutions | anthem.com | 844-396-2329 |
| SilverSummit Healthplan (Centene) | silversummithealthplan.com | 844-366-2880 |
Enrollment & Eligibility
- How to apply: Visit Access Nevada or call Nevada Medicaid at 800-992-0900.
- Eligibility: Based on household income, size, and qualifying factors such as age, disability, or pregnancy.
- Plan choice: Members can choose between the two MCOs if they live in a managed care service area.
Key Provider Resources
Contact Info
- Nevada Medicaid Member Services: 800-992-0900
- Enrollment Help: 800-216-7988
Internal Links to Other States
View Medicaid plans in Georgia, Florida, Montana, Missouri, Nebraska, or Mississippi.