Enrollee Information
Open enrollment occurs annually from October 1 through October 31. During open enrollment a Medicaid recipient can choose a new plan, and that choice will be effective on January 1 of each year.
Details on open enrollment can be found by downloading the "NVMedicaid" application found on the Apple Store, on Google Play, at the MDP weblink at https://mdp.medicaid.nv.gov/, on the DHCFP website at https://dhcfp.nv.gov/Members/BLU/MCOMain/, on the Medicaid website at https://www.medicaid.nv.gov/providers/enrollees/MCOinfo.aspx, or at your local Medicaid District Office at the following numbers: Northern Nevada (775) 687-1900 or Southern Nevada (702) 668-4200.
Sign up for Medicaid Member News: Nevada Medicaid sends notifications over ListServ direct to your email regarding news, initiatives and public meetings. Click https://dhcfp.nv.gov/Resources/NevadaMedicaidUpdate/MemberNewsListserv/ to subscribe.
FAQs for Managed Care Enrollment can be found here: https://dhcfp.nv.gov/Members/BLU/MCOMain/
Benefit Fact Sheets & Contact Info
Medical care in managed care covered areas is provided by the MCOs listed below. You can change your MCO annually during Open Enrollment. Go to your MCO’s website to find a provider.
To review the MCO Benefit Fact Sheets, visit https://dhcfp.nv.gov/Members/BLU/MCOMain/
The form to change your MCO can be found by visiting https://dhcfp.nv.gov/Members/BLU/MCOMain/
Send the completed MCO change form to the following mailing address:
Nevada Medicaid ATTN: MCO Changes PO Box 30042 Reno, NV 89520
Nevada Medicaid and Nevada Check Up contracted Managed Care Organizations (MCOs) Contact Information:
Anthem Blue Cross and Blue Shield Healthcare Solutions
Phone: (844) 396-2329
Health Plan of Nevada (HPN)
Phone: (800) 962-8074
Molina Healthcare of Nevada
Phone: (833) 685-2102
SilverSummit Healthplan
Phone: (844) 366-2880
NCQA's Health Plan Report Cards
National Committee for Quality Assurance (NCQA) evaluates health plans on the quality-of-care patients receive, how happy patients are with their care, and health plans' efforts to keep improving.
To view the NCQA Accreditation status and Health Plan Rating for Nevada MCOs, click the link below: https://reportcards.ncqa.org/health-plans?dropdown-state=Nevada&filter-state=Nevada&filter-plan=Medicaid&pg=1
Dental Benefit Administration (DBA)
When you are enrolled in an MCO, you are automatically enrolled in a DBA as well. Effective January 1, 2018, dental benefits in Nevada are provided by LIBERTY Dental Plan of Nevada, Inc. Go to LIBERTY’s website to find a provider.
LIBERTY Dental Plan of Nevada, Inc.
Phone: (866) 609-0418
Website: www.libertydentalplan.com/NVMedicaid
LIBERTY Dental Plan is fully accredited by URAC.
Achieving Dental Plan Accreditation from the Utilization Review Accreditation Commission (URAC) signals to stakeholders — from patients and providers to potential partners — that your dental plan has fine-tuned its operations and adheres to a set of rigorous quality standards organization-wide.
To view accreditation details, click the link below: https://accreditnet.urac.org/directory/#/accreditation/DPL006099/info