Statewide Managed Care Program

For notifications directly to your inbox, sign up for the Statewide Managed Care ListServ here. Questions? Write to: StatewideMCO@dhcfp.nv.gov

New member flyer: Download it, print it and share it.

In 2024, Nevada Medicaid surveyed rural Nevadans on how to improve services. Rural members want:

Easier appointments.
More preventative health options.
More doctors and health care providers.

Nevada Medicaid responded. New health plans are coming to rural Nevada. They will be held to appointment standards, be rewarded for offering preventative health services that improve outcomes and use their resources to bring more health care options to rural areas. Starting this fall, rural Nevadans need to keep an eye out for letters from the Health Plans. Give us your feedback too.

Statewide Managed Care Background

Nevada’s Medicaid Managed Care Program serves certain populations in two urban counties—Washoe and Clark Counties. These populations comprise approximately 75 percent of the total Medicaid population. During the 82nd legislative session, the Division received state approval in its budget to finance the expansion of the Medicaid Managed Care Program to all counties in the State pursuant to Nev. Rev. Stat. § 422.273. This expansion will begin on January 1, 2026, with the implementation of the next Managed Care Contract Period, resulting in about a 10 percent increase in Medicaid recipients served by the State’s Medicaid Managed Care Program.

The Division estimates that the populations eligible for this expansion include about 75,000 people living in rural Nevada counties. This includes Medicaid-enrolled children, parents, and adults without children. About 126,000 individuals will continue to receive Medicaid coverage through the State’s Fee-For-Service (FFS) Medicaid program. These individuals live in all counties of the State and include, currently:

Medicaid-enrolled children in foster care, juvenile justice, and child welfare systems;
Individuals with disabilities;
Seniors (ages 65 and older);
Individuals receiving services through one of Medicaid’s three home and community-based waiver programs.

Over the coming months, the Division intends to host at least three public workshops in rural regions of the state to share information and answer questions about the statewide expansion with local recipients, providers, and county officials.

For more information about these public workshops and other details about the expansion activities including the procurement schedule, you will be able to sign up for the Statewide Managed Care email list here.

Education & Toolkit

COMMUNICATIONS TOOLKIT
For use by partners and providers to help get the word out

You are all likely to get questions from members about managed care coming to rural Nevada. Please print this flyer and have it ready to answer questions. Not all Fee for Service members will have managed care, so it is important to know who this change applies to. If you have questions, read the website and/or write to StatewideMCO@DHCFP.nv.gov.

In addition to printing and posting the flyer, please consider sharing the messages below with your network and clients. We will send you updated messages as the project progresses. If you share the messages below in your network, please let us know by writing to StatewideMCO@dhcfp.nv.gov.

FOR POSTING ON YOUR SOCIAL MEDIA
MESSAGE 1: Rural Medicaid members asked for more preventive health, easier appointments and more doctors and providers. Nevada Medicaid listened and responded. Now, managed care is coming to rural Nevada. For more information, look at the flyer on this website: https://dhcfp.nv.gov/Providers/Statewide_Managed_Care/

MESSAGE 2: Staying healthy can feel like a sport. Rural Nevadans Medicaid members are about to get teams of doctors nurses and coaches on their side. Check out the changes with the flyer on this website: https://dhcfp.nv.gov/Providers/Statewide_Managed_Care/

MESSAGE 3: Medicaid is working to improve rural health care with changes starting in January 2026. The flyer on this website explains it: https://dhcfp.nv.gov/Providers/Statewide_Managed_Care/

EMAIL MESSAGE TO CLIENTS AND/OR YOUR NETWORK

RE: Important Changes Coming to Rural Nevada Medicaid

Dear Rural Fee for Service Medicaid Members,

In 2024 Nevada Medicaid surveyed rural Nevadans on how to improve services. Rural members want:

Easier appointments
More preventative health options
More doctors and health care providers

Medicaid responded. New health plans are coming to rural Nevada. The plans will be held to appointment standards, be rewarded for offering preventative health services that improve outcomes and use their resources to bring more health care options to rural areas. Starting this fall, some rural Nevadans will need to keep an eye out for letters from the Health Plans. For more information, read this new flyer. Feel free to share it. You can also visit this website. If you have any questions, please write to StatewideMCO@dhcfp.nv.gov.

Member flyer