Return to Articles

10.01.2025

Nevada Medicaid Open Enrollment in October: Managed Care Open Enrollment in October

If your family is enrolled in Nevada Medicaid, you get your health services through a Managed Care Organization (MCO). These are the health plans that help coordinate your care, pay for your covered services, and give you access to doctors, specialists, prescriptions, and more.

Every year, you have a chance to look at your plan and decide if it’s still the best fit for your family. That time is called open enrollment, and this year it takes place from October 1 through October 31.

What is Open Enrollment?

Open enrollment is the one time each year when Medicaid families can:

• Stay with their current MCO if it meets their needs.
• Switch to another MCO if they want different doctors, benefits, or services.

Any changes made during October take effect on January 1 of the next year.

Who Are Nevada’s MCOs?

Right now, Nevada families may be enrolled in one of these MCOs:

• Anthem Blue Cross and Blue Shield Healthcare Solutions
• Health Plan of Nevada (HPN)
• Molina Healthcare of Nevada
• SilverSummit Healthplan

Starting in January 2026, families will also have the option of enrolling in CareSource, a nonprofit MCO that will serve families statewide.

How Do I Choose or Change My MCO?

When you think about whether to stay with your plan or switch, consider:

1. Are your family’s current doctors and clinics in the plan’s network?
2. Does the plan cover the medications, specialists, or therapies your family needs?
3. Does it offer extra benefits that matter to you, like transportation or wellness programs?
4. How easy is it to get care locally, especially if you live in a rural area?

If you decide you want to change plans:

1. If you are currently enrolled in Medicaid, you should have received an open enrollment letter in July with information and instructions. If you did not receive a letter or you have any questions, contact your local Medicaid District Office:

                  Southern Nevada – 702-668-4200

                  Northern Nevada – 775-687-1900

2. Complete the Open Enrollment Change Request form. You will need to fill in your Medicaid ID number (if not already on the form) and select a new MCO.

• Click here to view the MCO Benefit Fact Sheets for all current MCOs, which includes information about each MCO and the benefits they provide to help you make a decision about which MCO will work best for you and your family.
• Click here to learn more about the new CareSource MCO, which will be serving rural Nevada, as well as Clark and Washoe counties.

Click here to read the First 5 Nevada article “Getting the Most Out of Your Medicaid Plan” from October 2024 which includes additional information about MCOs and Value-Added Benefits. Note:Benefits noted in this article may have changed and do not include the new CareSource MCO. Use the link above to view the most current MCO Benefit Fact Sheets.

3. Submit it during October (open enrollment). Your new plan will start on January 1, 2026.

• The head of household needs to send the Open Enrollment request to: Nevada Medicaid Attn. MCO Changes P.O. Box 30042 Reno, NV, 89520or by email (preferred method) to [email protected]
• Open Enrollment change requests received after October 31st of the current year will not be honored as the Open Enrollment period has ended.
• Please do not submit multiple requests. Only one form needs to be submitted unless you would like to change a previous choice. The last change request received is the choice that will be honored. 

You can also switch within the first 90 days after you first enroll in Medicaid, or outside those windows if you qualify for a “good cause” change (such as moving or your doctor not being in your plan).

Tips for Families

• Update your contact information with Medicaid so you don’t miss letters about your plan.
• Review your options early so you don’t feel rushed during October.
• Ask for help: If you’re not sure which plan is best, call your current MCO, the Medicaid District Office, or a community health navigator.
  • Click here to learn more about Certified Enrollment Counselors, Navigators and In-Person Assisters Organizations in Nevada from Nevada Health Link.

Open enrollment is your chance to make sure your family’s health plan is still the right one. Whether you stay with your current plan or decide it is time for a change - you have the power to choose the plan that best fits your family’s needs.

Mark your calendar: October 1–31 is Medicaid open enrollment. Take the time to review your plan, explore your options, and make the choice that works best for you and  your family.

If you are not currently enrolled in Nevada Medicaid and would like to see if you qualify, please visit Access Nevada athttps://accessnevada.dwss.nv.gov/public/landing-page.

 For information about Nevada Health Link Open Enrollment, please visithttps://www.nevadahealthlink.com/start-here/how-to-enroll/open-enrollment/.