This week, our In Focus section reviews the request for proposals (RFP) issued by Nevada’s Division of Health Care Financing and Policy (DHCFP) on July 1, 2016, to rebid contracts for the state’s Medicaid managed care program. The RFP solicits bids for managed care organizations to serve the existing two-county service area, in Clark and Washoe counties, although the RFP states that any geographic expansion of the program would be covered under this procurement. The current contracts are held by United Healthcare’s Health Plan of Nevada and Anthem’s Amerigroup Nevada. Medicaid managed care enrollment has grown significantly during the last contract term due to the state’s expansion of Medicaid. There were more than 400,000 members in managed care in Nevada at the start of 2016; fiscal year 2015 spending on Medicaid managed care in Nevada totaled roughly $1.3 billion.