NV MEDICAID MARKET

Nevada

Name: Nevada Medicaid Managed Care RFP & Procurement Intelligence | Precapture
Creator: Precapture

market movement

CareSource begins statewide Nevada Medicaid operations

Last verified 318 days ago

Last verified 318 days ago · newest item is older than 21 days

MARKET_MOVEMENT

Verification tier 2

CareSource begins statewide Nevada Medicaid operations

January 1, 2026

CareSource began operating Nevada Medicaid statewide on January 1, 2026, including rural counties and Clark and Washoe counties.

Precapture analysis

Nevada gives CareSource a western beachhead and intensifies competition with four national plans in the statewide model.

Plans in this market

Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.

Plans in this market 27

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
CVS/Aetna	Aetna Better Health of Nevada	not reported	1,518 (2017)	0.3% calculated	not reported
Centene	Silver Summit Health	not reported	791 (2017)	0.2% calculated	not reported
Centene	Silver Summit Health Plan	not reported	49,855 (2018)	10.9% calculated	not reported
Centene	Silver Summit Health Plan (SSH)	not reported	53,154 (2019)	10.7% calculated	not reported
Centene	Silver Summit Health Plan (SSH)	not reported	63,123 (2020)	11.3% calculated	not reported

show all 27

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
Centene	SilverSummit Health Plan	not reported	106,497 (2024)	17.4% calculated	1 sanctions, 662 appeals resolved
Elevance	Amerigroup Community Care (AGP)	not reported	182,750 (2017)	40.7% calculated	not reported
Elevance	Anthem Blue Cross Blue Shield of Nevada	not reported	165,519 (2018)	36.2% calculated	not reported
Elevance	Anthem Blue Cross Blue Shield of Nevada	not reported	262,674 (2021)	41.0% calculated	19,738 appeals resolved
Elevance	Anthem Blue Cross Blue Shield of Nevada (ANT)	not reported	225,873 (2020)	40.5% calculated	not reported
Elevance	Anthem Blue Cross and Blue Shield Healthcare Solutions	not reported	200,552 (2024)	32.7% calculated	1 sanctions, 996 appeals resolved
not reported	Axis Point Health	not reported	38,543 (2017)	100.0% calculated	not reported
not reported	Liberty Dental Plan of Nevada	not reported	618,649 (2024)	100.0% calculated	1 sanctions, 529 appeals resolved
not reported	Medical Transportation Management (MTM Nevada)	not reported	588,111 (2018)	100.0% calculated	not reported
not reported	Medical Transportation Management (MTM)	not reported	575,184 (2019)	100.0% calculated	not reported
not reported	Medical Transportation Management (MTM)	not reported	761,092 (2024)	100.0% calculated	not reported
Molina	Molina Healthcare of Nevada	not reported	96,375 (2024)	15.7% calculated	1 sanctions, 1,343 appeals resolved
UnitedHealth	Health Plan of Nevada	not reported	301,149 (2021)	47.0% calculated	not reported
UnitedHealth	Health Plan of Nevada (HPN)	not reported	269,044 (2020)	48.2% calculated	not reported
UnitedHealth	Health Plan of Nevada (HPN)	not reported	263,454 (2017)	58.7% calculated	not reported
UnitedHealth	Health Plan of Nevada (HPN)	not reported	248,830 (2019)	49.9% calculated	not reported
UnitedHealth	United Healthcare Health Plan of Nevada	not reported	226,365 (2022)	32.4% calculated	not reported
UnitedHealth	UnitedHealthcare Health Plan of Nevada	not reported	209,874 (2024)	34.2% calculated	1 sanctions, 1,193 appeals resolved
not reported	Amerigroup Community Care (AGP)	not reported	154,776 (2016)	38.6% calculated	not reported
not reported	Axis Point Health	not reported	38,252 (2016)	100.0% calculated	not reported
not reported	Health Plan of Nevada (HPN)	not reported	246,658 (2016)	61.4% calculated	not reported
not reported	Medical Transportation Management, Inc (MTM)	not reported	557,397 (2016)	100.0% calculated	not reported

CMS reported enrollment

CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.

National market share

Dental Benefits Administrator (DBA) (Dental only (PAHP))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Liberty Dental Plan of Nevada	Liberty Dental Plan Corporation	LIBERTY Dental Plan	88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2019: 498,872; 2020: 556,987; 2021: 653,494
Liberty Dental Plan of Nevada	Liberty Dental Plan Corporation	LIBERTY Dental Plan	89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2022: 698,448

Dental Benefits Administrator (Dental only (PAHP))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Liberty Dental Plan of Nevada	Liberty Dental Plan Corporation	LIBERTY Dental Plan	Region: SNEV; FIP: 703; Zips: 88901, 88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199 Region: NNEV; FIP: 731; Zips: 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523,89533, 89555, 89557, 89570, 89595, 89599	CMS reported 618,649 (2024)	100.0%	not reported	not reported	2024: 618,649
Liberty Dental Plan of Nevada	Liberty Dental Plan Corporation	LIBERTY Dental Plan	Region: SNEV; FIP: 703; Zips: 88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199 Region: NNEV; FIP: 731; Zips: 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2023: 700,805
Liberty Dental Plan of Nevada	Liberty Dental Plan Corporation	LIBERTY Dental Plan	Sufficiently populated Urban Zip Codes in Washoe and Clark counties	not reported	not reported	not reported	not reported	2018: 457,782

Health Care Guidance Program (HCGP) (Primary Care Case Management (PCCM))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Axis Point Health	Falcon Subsidiaries LLC	Falcon Subsidiaries LLC	Statewide	not reported	not reported	not reported	not reported	2016: 38,252; 2017: 38,543

Mandatory Health Maintenance Program (Comprehensive MCO)

Mandatory Health Maintenance Program (Comprehensive MCO) 17

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health of Nevada	Aetna	CVS/Aetna	Urban zipcodes in Washoe and Clark Counties.	not reported	not reported	not reported	not reported	2017: 1,518
Amerigroup Community Care (AGP)	Anthem	Elevance	Urban zipcodes in Wahsoe and Clark Counties.	not reported	not reported	not reported	not reported	2017: 182,750
Amerigroup Community Care (AGP)	not reported	unmatched	Urban zip codes in Washoe (Reno) and Clark (Las Vegas) counties	not reported	not reported	not reported	not reported	2016: 154,776
Anthem Blue Cross Blue Shield of Nevada	Anthem BCBS	Elevance	Urban zipcodes in Washoe and Clark Counties	not reported	not reported	not reported	not reported	2018: 165,519
Anthem Blue Cross and Blue Shield Healthcare Solutions	Anthem Blue Cross and Blue Shield	Elevance	Region: SNEV; FIP: 703; Zips: 88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199 Region: NNEV; FIP: 731; Zips: 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	CMS reported 200,552 (2024)	32.7%	not reported	not reported	2024: 200,552

show all 17

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Anthem Blue Cross and Blue Shield Healthcare Solutions	Anthem Blue Cross and Blue Shield	Elevance	Region: SNEV; FIP: 703; Zips: 88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199 Region: NNEV; FIP: 731; Zips: 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595	not reported	not reported	not reported	not reported	2023: 206,796
Health Plan of Nevada (HPN)	United Health Care	UnitedHealth	Urban zipcodes in Washoe and Clark Counties.	not reported	not reported	not reported	not reported	2017: 263,454
Health Plan of Nevada (HPN)	UnitedHealthcare	UnitedHealth	Urban zipcodes in Washoe and Clark Counties	not reported	not reported	not reported	not reported	2018: 242,408
Health Plan of Nevada (HPN)	not reported	unmatched	Urban zip codes in Washoe (Reno) and Clark (Las Vegas) counties	not reported	not reported	not reported	not reported	2016: 246,658
Molina Healthcare of Nevada	Molina Healthcare	Molina	Region: SNEV; FIP: 703; Zip: 88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199 Region: NNEV; FIP: 731; Zips: 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595	not reported	not reported	not reported	not reported	2023: 111,014
Molina Healthcare of Nevada	Molina Healthcare	Molina	Region: SNEV; FIP: 703; Zips: 88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199 Region: NNEV; FIP: 731; Zips: 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	CMS reported 96,375 (2024)	15.7%	not reported	not reported	2024: 96,375
Silver Summit Health Plan	Centene Corporation	Centene	Urban zipcodes in Washoe and Clark Counties	not reported	not reported	not reported	not reported	2018: 49,855
Silver Summit Health	Centene	Centene	Urban zipcodes in Washoe and Clark Counties.	not reported	not reported	not reported	not reported	2017: 791
SilverSummit Health Plan	Centene	Centene	Region: SNEV; FIP: 703; Zips: 88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199 Region: NNEV; FIP: 731; Zips: 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2023: 125,294
SilverSummit Health Plan	Centene	Centene	Region: SNEV; FIP: 703; Zips: 88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054,89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104,89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119,89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145,89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179,89180, 89183, 89185, 89191, 89193, 89195, 89199 Region: NNEV; FIP: 731; Zips: 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	CMS reported 106,497 (2024)	17.4%	not reported	not reported	2024: 106,497
UnitedHealthcare Health Plan of Nevada	UnitedHealthcare	UnitedHealth	Region: SNEV; FIP: 703; Zips: 88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199 Region: NNEV; FIP: 731; Zips: 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	CMS reported 209,874 (2024)	34.2%	not reported	not reported	2024: 209,874
UnitedHealthcare Health Plan of Nevada	UnitedHealthcare	UnitedHealth	Region: SNEV; FIP: 703; Zips: 88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012,89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104,89105, 89106, 89107,89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133,89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160,89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199 Region: NNEV; FIP: 731; Zips: 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2023: 221,464

Mandatory Health Maintenance Program (MCO) (Comprehensive MCO)

Mandatory Health Maintenance Program (MCO) (Comprehensive MCO) 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Anthem Blue Cross Blue Shield of Nevada (ANT)	Anthem Blue Cross Blue Shield	Elevance	88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2019: 196,888; 2020: 225,873
Anthem Blue Cross Blue Shield of Nevada	Anthem Blue Cross Blue Shield	Elevance	88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2021: 262,674
Anthem Blue Cross and Blue Shield Healthcare Solutions	Anthem Blue Cross and Blue Shield	Elevance	89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2022: 207,218
Health Plan of Nevada (HPN)	United Health	United Health	88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2019: 248,830; 2020: 269,044
Health Plan of Nevada	United Health	United Health	88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2021: 301,149

show all 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Molina Healthcare of Nevada	Molina Healthcare	Molina	89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2022: 121,764
Silver Summit Health Plan (SSH)	Centene	Centene	88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2019: 53,154; 2020: 63,123
SilverSummit Health Plan	Centene	Centene	88901, 88905, 89002, 89004, 89005, 89006, 89009, 89011, 89012, 89014, 89015, 89016, 89030, 89031, 89032, 89033, 89036, 89044, 89052, 89053, 89054, 89074, 89077, 89081, 89084, 89085, 89086, 89087, 89101, 89102, 89103, 89104, 89105, 89106, 89107, 89108, 89109, 89110, 89111, 89112, 89113, 89114, 89115, 89116, 89117, 89118, 89119, 89120, 89121, 89122, 89123, 89124, 89125, 89126, 89127, 89128, 89129, 89130, 89131, 89132, 89133, 89134, 89135, 89136, 89137, 89138, 89139, 89140, 89141, 89142, 89143, 89144, 89145, 89146, 89147, 89148, 89149, 89150, 89151, 89152, 89153, 89154, 89155, 89156, 89157, 89159, 89160, 89161, 89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2021: 77,277
SilverSummit Health Plan	Centene	Centene	89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2022: 143,379
United Healthcare Health Plan of Nevada	United Healthcare	UnitedHealth	89162, 89163, 89164, 89165, 89166, 89169, 89170, 89173, 89177, 89178, 89179, 89180, 89183, 89185, 89191, 89193, 89195, 89199, 89431, 89432, 89433, 89434, 89435, 89436, 89439, 89441, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89508, 89509, 89510, 89511, 89512, 89513, 89515, 89519, 89520, 89521, 89523, 89533, 89555, 89557, 89570, 89595, 89599	not reported	not reported	not reported	not reported	2022: 226,365

Non-Emergency Medical Transportation (NEMT)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Medical Transportation Management (MTM)	Medical Transportation Management (MTM)	Medical Transportation Management (MTM)	Statewide	CMS reported 761,092 (2024)	100.0%	-127,260 (-14.3%)	0.0 pts	2022: 839,650; 2023: 888,352; 2024: 761,092

Non-Emergency Medical Transportation (NEMT) (Non-Emergency Medical Transportation)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Medical Transportation Management (MTM)	Medical Transportation Management (MTM)	Medical Transportation Management (MTM)	Statewide	not reported	not reported	not reported	not reported	2021: 770,538

Non-Emergency Transportation (NET) (Non-Emergency Medical Transportation)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Medical Transportation Management (MTM)	Medical Transportation Management (MTM)	Medical Transportation Management (MTM)	Statewide	not reported	not reported	not reported	not reported	2019: 575,184; 2020: 650,160
Medical Transportation Management, Inc (MTM)	not reported	unmatched	Statewide	not reported	not reported	not reported	not reported	2016: 557,397

Non-Emergency Transportation (Non-Emergency Medical Transportation)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Medical Transportation Management (MTM Nevada)	MTM Inc	MTM Inc	Statewide	not reported	not reported	not reported	not reported	2017: 578,683; 2018: 588,111

Plan operations (CMS MCPAR)

Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.

National plan operations · Federal compliance deadlines

Appeals, grievances, and enrollment share (2024)

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
Liberty Dental Plan	LIBERTY Dental Plan	Nevada Dental Benefits Administrator (DBA) Program	299	44	14.7% calculated	653	76.1%	103.1%
Anthem Blue Cross and Blue Shield Healthcare	Elevance	Nevada Medicaid Managed Care Program	996	246	24.7% calculated	1,318	25.3%	34.3%
Molina Healthcare of Nevada	Molina	Nevada Medicaid Managed Care Program	496	237	47.8% calculated	1,676	12.3%	16.7%
SilverSummit Health Plan	Centene	Nevada Medicaid Managed Care Program	415	177	42.7% calculated	406	13.5%	18.3%
United Healthcare Health Plan of NV	UnitedHealth	Nevada Medicaid Managed Care Program	692	346	50.0% calculated	1,094	26.1%	35.3%

Sanctions (2024)

Plan	Parent	Topic	Date	Corrective action plan	Remediation status
Liberty Dental Plan	LIBERTY Dental Plan	Other, specify (Compliance Review)	2024-08-16	Yes	Yes, remediated
Anthem Blue Cross and Blue Shield Healthcare	Elevance	Other, specify (Compliance Review)	2024-08-16	Yes	Yes, remediated
Molina Healthcare of Nevada	Molina	Other, specify (Compliance Review)	2024-08-16	Yes	Yes, remediated
SilverSummit Health Plan	Centene	Other, specify (Compliance Review)	2024-08-16	Yes	Yes, remediated
United Healthcare Health Plan of NV	UnitedHealth	Other, specify (Compliance Review)	2024-08-16	Yes	Yes, remediated

Award history

Nevada Medicaid/CHIP Managed Care Organization (statewide expansion) 40DHHS-S3037: awarded. Nevada Medicaid/CHIP Managed Care Organization (statewide expansion) (40DHHS-S3037). Status recorded from the retrieved documents: awarded. Named awardees in confirmed excerpts: SilverSummit Healthplan, Inc., CareSource, Molina Healthcare of Nevada, Inc., Community Care Health Plan of Nevada, Inc., Health Plan of Nevada, Inc. (HPN). Notice date 2025-03-12.

Retrieved 2026-11-03. Sources and scores

Early procurement signals

No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals

Contract amendments

No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments

Medicaid policy

Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.

Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.

Coverage not_collected.

No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy

Federal Register SPA disapproval hearing notices (2015 or later): 0

Plan financials

No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.

Federal compliance deadlines

Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.

Subscriber analysis

Subscriber analysis is available to signed-in readers. This public page keeps the evidence and leaves out the interpretation.