Nevada's 1115 Demonstration Waiver

Nevada's 1115 Demonstration Waiver - Proposed Program Design

Public comments on the Demonstration Waiver can be submitted through 5 p.m. Pacific on May 31, 2022 


Nevada’s Treatment of Opioid Use Disorders (OUDs) and Substance Use Disorders (SUDs) Transformation Project (see link to waiver below)

The Nevada Department of Health and Human Services (DHHS) is requesting authority from the Centers for Medicare & Medicaid Services (CMS) for a five-year, Section 1115 Demonstration waiver to expand statewide access to comprehensive behavioral health services for the most vulnerable Nevadans, including those with opioid use disorders (OUDs) and other substance use disorders (SUDs).  Specifically, DHHS seeks authority to provide a limited waiver of the federal Medicaid Institutions for Mental Diseases (IMD) exclusion (hereinafter referred to as the “Demonstration”). This Demonstration will further the objectives of Title XIX and Title XXI of the Social Security Act by improving access to high-quality, person-centered services that produce positive health outcomes for individuals; an innovative delivery system and payment models will strengthen provider network capacity and drive greater value for Medicaid.  The Demonstration will not modify the Nevada’s current Medicaid program or Children’s Health Insurance Program (CHIP) outside of the benefits and reimbursement methodologies described within the application.

    Program Design Information for Beneficiaries and Providers

    Public Hearings and Public Workshops

    The Department of Health and Human Services (DHHS) recognizes that it is crucial to listen to and learn from the people who live and work with Medicaid every day. To develop the strongest Medicaid program for Nevada, DHHS continues to talk with providers, beneficiaries, advocates, and health care experts across the state and country. DHHS is committed to continuing these partnerships.

    April 20th, 2021 at 9:00 AM PST

    October 26th, 2021 at 9:00 AM PST

    May 25th, 2022 at 10:00 AM PST

    May 31st, 2022 at 10:00 AM PST

    Public Comments

    Public comments regarding the 1115 Waiver were able to be submitted until 5 p.m. Pacific on May 31, 2022.

    All Public Comments and State responses can be found here.

    Please email questions, comments, or concerns to:

      Contact Information

      Questions related to what is covered by Medicaid, write to:


        Upcoming meetings are posted here


          Learn more about Nevada Medicaid here