Nevada providers should notify recipients that eligibility renewals that will impact coverage will start April 1, 2023. Providers should urge members to update their contact information to ensure they receive their renewal packets or requests for information. Please use the new Phase II and III resources available on the Member Outreach website and direct members to the Member website for additional information.
The
Consolidated
Appropriation Act 2023 (CAA), provides a fixed end date for the Medicaid Continuous
Enrollment Condition which ends effective March 31, 2023. By providing the end date of the continuous enrollment condition, states can start addressing
eligibility and enrollment actions that have been paused during the COVID-19 PHE.
State Health & Value Strategies breaks down the CAA provisions in their article:
Unwinding
Provisions in the 2023 Consolidated Appropriations Act.
COVID-19 Public Health Emergency Unwinding Plan
Providers need to notify members that eligibility evaluations could impact coverage beginning April 1, 2023. Please encourage members to update their addresses and respond to requests for information from the Division of Welfare and Supportive Services. The plan below documents the activities necessary to unwind the system, programs and policies implemented in the response to COVID-19.
50-State Unwinding Tracker
Georgetown University's tracker reports on six key document or information in preparation for the unwinding. Nevada has met all six informational elements, click here to view the 50-State Unwinding Tracker Map and other information.
COVID-19 Vaccine
The COVID-19 vaccine will be provided at no-cost to providers by the federal government. Providers may not bill Nevada Medicaid for the vaccine itself, but my bill for the vaccine administration fee only. Providers may not charge Nevada Medicaid recipients for the vaccine or the vaccine administration fee as this is a covered service.
For Nevada Medicaid recipients in both Fee-for-Service (FFS) and Managed Care (MCO) the COVID-19 vaccine and administration fee will be covered at no-cost. For more information and resources on the COVID-19 vaccine, visit Immunize Nevada (www.NVCOVIDFighter.org). Medical providers, pharmacies, Immunize Nevada, the media are resources to find out when the vaccine will be available to the general public. Links for COVID-19 vaccine information for the general public and providers are on the right-hand side of this page.
Resources for members who feel sick
For members who feel sick, the Centers for Disease Control and Prevention (CDC) has an online COVID-19 “Self-Checker.” This online self-checker can help you make decisions and seek appropriate medical care when necessary. This website can be found at CDC COVID-19 Self-Checker. You can also call Nevada 2-1-1 by dialing "211." If you are enrolled in a Nevada Medicaid Managed Care Organization, you can contact these organizations as well for advice. This includes Anthem Blue Cross Blue Shield, Health Plan of Nevada, Molina, and SilverSummit Healthplan. Please look on the right-hand side of this page under Recipients to click on links to these Medicaid Managed Care Organizations.
Nevada’s Approved COVID-19 Waiver Requests (archive for reference only)
The following are Centers for Medicare and Medicaid Services (CMS) approvals for Nevada to respond to COVID-19.
- 1115(a) Demonstration Waivers
- 1135 Waiver
- Disaster State Plan Amendment
CMS has also provided a Blanket Waiver to allow all states the authority to waive specific requirements of the Social Security Act. This Blanket Waiver is effective from 3/1/2020 through the end of the emergency declaration.