Tag Archives: NV
Market Overview PDF
Download NowNevada_042424.pdf
NV Medicaid Managed Care Actuarial Rate Certifications, CY 2016-24
1. NV Medicaid Managed Care Actuarial Rate Certification, CY 2024
2. NV Medicaid Managed Care Actuarial Rate Certification, CY 2022
3. NV Medicaid Managed Care Actuarial Rate Certification, CY 2021
4. NV Medicaid Managed Care Actuarial Rate Certification, CY 2020
5. NV Medicaid Managed Care Actuarial Rate Certification, CY 2019
6. NV Medicaid Managed Care Actuarial Rate Certification, CY 2018
7. NV Medicaid Managed Care Actuarial Rate Certification Amendment, July 1, 2017 – December 31, 2017
8. NV Medicaid Managed Care Actuarial Rate Certification Approval Letter, July 1, 2017 – December 31, 2017
9. NV Medicaid Managed Care Actuarial Rate Certification, CY 2017
10. NV Medicaid Managed Care Actuarial Rate Certification Approval Letter, CY 2017
11. NV Medicaid Managed Care Actuarial Rate Certification, CY 2016
12. NV Medicaid Managed Care Actuarial Rate Certification Approval Letter, CY 2016
NV Medicaid Managed Care Quality Strategy Reports, 2014-2024
1. Nevada Medicaid Managed Care Quality Strategy Report, 2022-24
2. Nevada Medicaid Managed Care Quality Strategy Report, 2019-21
3. Nevada Medicaid Managed Care Quality Strategy Report, 2016-17
4. Nevada Medicaid Managed Care Quality Strategy Report, 2014-15
NV DHHS Fact Books, 2015-21
Nevada Dept. of Health and Human Services Fact Books, 2015-2021
NV Medicaid Managed Care Enrollment is Down 0.8%, Apr-20 Data
Medicaid managed care enrollment in Nevada was down 0.8% to 459,000 in April 2020, after dropping 2.5% in 2019, dropping 1.2% in 2018, rising 6.4% in 2017, and rising 8.7% in 2016.
NV Medicaid Managed Care Enrollment is Down 2.5%, 2019 Data
Medicaid managed care enrollment in Nevada was down 2.5% to 463,000 at year-end 2019, after dropping 1.2% in 2018, rising 6.4% in 2017, and rising 8.7% in 2016.
NV SNP Membership at 11,985, Mar-20 Data
Nevada had 11,985 Special Needs Plan members as of March 2020.
MLRs at NV Medicaid MCOs Average 83%, 2019 Data
Average medical loss ratio among three Nevada Medicaid managed care plans was 83% in 2019. Per member per month premiums averaged $333.
NV Medicaid Fee for Service vs. Managed Care Penetration, 2014-19
Total Medicaid enrollment in Nevada was 626,000 in 2019. About 74.9% of Medicaid beneficiaries were enrolled in a managed care plan. The remainder were in fee-for-service Medicaid. Total Medicaid expenditures in Nevada were $4.0 billion in 2019, with about 45.7% through managed care and the rest through fee-for-service.
NV Cost-Based Rate Study on Services Under the HCBS Waiver RFP, Mar-20
NV Department of Health and Human Services (DHHS), Division of Health Care Financing & Policy (DHCFP) and Aging and Disability Services Division (ADSD) Cost-Based Rate Study on Services Under the Home and Community-Based Services (HCBS) Waiver for Individuals with Intellectual and Developmental Disabilities (IDD) RFP, Issued March 6, 2020
