Managed Care

2022 Managed Care Contracts

Once you click on each link below, scroll down the page for the contracts and attachments.
Anthem Blue Cross and Blue Shield (Anthem)
Health Plan of Nevada (HPN)
Molina Healthcare of Nevada (Molina)
SilverSummit Health Plan (SilverSummit)

Support Materials

Press Release-Four MCOs in 2022
Member Redistribution-Provider Flyer
Provider Frequently Asked Questions (FAQs)

 

More information, Member FAQs, and contract information regarding redistribution is available here: https://dhcfp.nv.gov/Members/BLU/MCOMain/

Managed Care RFP Interest

MCO Cap Rate History
MCO Contract 3260
Nevada Medicaid Services Manual (MSM)
Nevada Medicaid State Plan documents
Nevada Medicaid MCO State Plan 3.1-F
Nevada Managed Care Quality Reports
Nevada EPro
Online Public Record Request Form
You may also request a copy of contract amendments from State Purchasing via the Online Public Record Request Form.
Report Frequency List