MedicaidAdministrativeMedium impact
Attention All Providers: Statewide Managed Care Questions and Answers
Nevada Medicaid·NV·Provider Announcement
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid is implementing statewide managed care health plans effective January 1, 2026. Rural members will be assigned to either CareSource or SilverSummit plans, while urban members have additional plan options during open enrollment from October 1-December 26, 2025.
Action Required
By December 26, 2025: Billing team must verify which Nevada Medicaid managed care plans (CareSource, SilverSummit, Anthem, Health Plan of Nevada, Molina) your practice accepts and update patient eligibility verification processes. Contact each plan to confirm provider network participation and obtain new billing procedures. Update front desk staff training on plan-specific requirements as patients transition from fee-for-service Medicaid to managed care plans.