Medicaid plans › Nevada
Nevada Medicaid Managed-Care Plans for Providers
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
Nevada Medicaid is run by the Nevada Division of Health Care Financing and Policy. 613,298 people were enrolled in its 4 managed-care plans in 2024. To see their patients, a provider enrolls with Nevada Medicaid through the Nevada Medicaid Online Provider Enrollment portal (Gainwell), then applies to each plan separately.
| Plan | Members (2024) | Share | Parent |
|---|---|---|---|
| UnitedHealthcare Health Plan of Nevada | 209,874 | 34.2% | UnitedHealth Group |
| Anthem Blue Cross and Blue Shield Healthcare Solutions | 200,552 | 32.7% | Elevance Health |
| SilverSummit Health Plan | 106,497 | 17.4% | Centene |
| Molina Healthcare of Nevada | 96,375 | 15.7% | Molina Healthcare |
How Joining Works in Nevada
First the state: Nevada Medicaid enrollment through the Nevada Medicaid Online Provider Enrollment portal (Gainwell), which gives you the Medicaid ID every plan asks for. Then the plans: each takes its own participation request and credentials you from your CAQH ProView (DataSpring) profile. 4 parent companies run plans here, and plans owned by the same company still contract state by state.
How to Join Each Nevada Plan
UnitedHealthcare Health Plan of Nevada (UnitedHealth Group): UnitedHealthcare Community Plans use UnitedHealthcare's provider onboarding: a participation request on the UnitedHealthcare provider site, credentialing from your CAQH ProView (DataSpring) profile, then a state-specific Community Plan agreement.
Anthem Blue Cross and Blue Shield Healthcare Solutions (Elevance Health): Elevance Health plans take participation requests through the plan's provider site for that state, most of them now inside Availity Essentials, and credential from your CAQH ProView (DataSpring) profile. Each state is its own contract.
SilverSummit Health Plan (Centene): Centene runs this plan alongside its Ambetter and Wellcare products. Each Centene plan takes its own contract request on the plan's provider website, credentials from your CAQH ProView (DataSpring) profile, and will not load a provider without the state Medicaid ID.
Molina Healthcare of Nevada (Molina Healthcare): Molina credentials each state separately. The contract request goes through the state's Molina provider site and requires an active state Medicaid enrollment; credentialing uses your CAQH ProView (DataSpring) profile.
Also in Nevada: Medicare, Nevada Medicaid and commercial credentialing.
Questions
Which Nevada Medicaid plan is the largest?
UnitedHealthcare Health Plan of Nevada, with 209,874 members in 2024, 34.2% of the 613,298 people enrolled in Nevada's Medicaid managed-care plans.
Do I have to join every Nevada Medicaid plan?
No. Each plan is a separate contract. Practices usually start with the two or three largest plans in their county, then add others as patients ask for them. All of them require Nevada Medicaid enrollment first.
Membership from KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024. Plans change when the state rebids its contracts; we confirm the current list on every file.