Urban Clark County

Nevada Medicaid is moving some Health Plan of Nevada Medicaid members to a different plan effective on January 1, 2026.

If Nevada Medicaid moves me to another plan, can I get my Health Plan of Nevada Medicaid plan back?

If you receive a letter from Nevada Medicaid letting you know you are being moved to another health plan, you can switch back to Health Plan of Nevada. Information will be provided in the letter. The switch period begins January 1, 2026.

  • If you are moved to a different plan, your effective date with your new plan is January 1, 2026.
  • You can switch back to Health Plan of Nevada. The switch period begins January 1, 2026. Per Nevada Medicaid, switch requests must be received by March 31, 2026. 
  • You have a choice! If you have questions, call Member Services at 1-844-553-7123, TTY 711, Monday through Friday from 8 a.m. to 6 p.m.
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    SWITCH BACK
    BY EMAIL
     

    Send an email to Nevada Medicaid.

    You must have email capability to use this email template. The email will be sent from the email account associated with the mobile device or computer.

    Nevada Medicaid needs the following information to process your change: your name, names of all members in your household you want to switch back to Health Plan of Nevada Medicaid, your Medicaid ID number, your address and your phone number. You can also email Nevada Medicaid at nvmmis.mco@gainwelltechnologies.com.

  • DOWNLOAD A SWITCH BACK FORM

    Download a switch back form or fill out the change form you received from Nevada Medicaid. Make sure to check the Health Plan of Nevada box.

    Email the completed form to nvmmis.mco@gainwelltechnologies.com.

    Or mail the completed form to:

    Nevada Medicaid
    Attn: MCO Changes
    PO Box 30042
    Reno, NV 89520

     


     

  • SWITCH BACK
    BY PHONE
     

    Request your change by phone.

    Call Nevada Medicaid customer service line at 702-668-4200, TTY 711 to switch to Health Plan of Nevada Medicaid.

     

     

     

     

     

     

     

When will I know if I’m being moved?

Per Nevada Medicaid, members will be notified by mail in October 2025. If you do not get the letter notifying you of a plan change, you will stay with Health Plan of Nevada Medicaid and receive Nevada Medicaid’s open enrollment packet.

If my plan changes, will I still be able to see my doctor?

It depends. Some providers are only in our network. In certain instances, you may be covered to see these exclusive providers for a limited time.

Why is this happening?

Nevada Medicaid wants Medicaid membership spread more equally between health plans offering Medicaid benefits in Nevada.

 

If you have questions, call Member Services at 1-844-553-7123, TTY 711, Monday through Friday from 8 a.m. to 6 p.m.

For information about Health Plan of Nevada Medicaid’s services, programs and no-cost extra benefits, click here.

Information subject to change and will be updated as needed.