Planes de salud de Medicaid en Rural Nevada service area, NV

Servicios para miembros: 1-833-230-2058

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• Postpartum home delivered meals

  CareSource covers home delivered meals after a member gives birth.

• Sam's Club and Boys and Girls Club membership

  CareSource covers a Sam's Club annual membership and a Boys and Girls Club annual fee.

• Free cell phone and tobacco cessation support

  CareSource offers a free cell phone with unlimited talk, text, and 25GB of data, plus no cost tobacco cessation programs.

• Nevada Medicaid (Division of Health Care Financing and Policy) Obtenido el 2026-07-17
• CareSource Obtenido el 2026-07-17

MAJOR MODELING CORRECTION FROM THE ORIGINAL TASK HYPOTHESIS: Nevada is NOT modeled as geography:"partial" (managed care limited to Clark/Washoe with fee-for-service everywhere else). Live research on medicaid.nv.gov confirmed that effective January 1, 2026, Nevada expanded Medicaid managed care statewide to all 17 counties (a Nevada Medicaid Web Announcement 3753 PDF, captured at seed/plans/snapshots/NV/nv-wa3753.txt, states this directly in its Managed Care Health Plans Questions and Answers insert). The old Clark/Washoe-only frame is now stale training-data knowledge, exactly the drift plans-v3-spec.md warned to check for live rather than assume. Nevada is modeled as geography:"regions" with three service areas that mirror the state's own consumer-facing framing in that same Q&A document (Question 2, "What plans are available where I live?"): Urban Clark County (5 plans: Anthem Blue Cross and Blue Shield Healthcare Solutions, CareSource, Health Plan of Nevada, Molina Healthcare of Nevada, SilverSummit Healthplan), Urban Washoe County (4 plans: the same five minus Health Plan of Nevada, which the same PDF's Web Announcement cover page and myhpnmedicaid.com's own provider notice both confirm exited the Washoe service area effective January 1, 2026), and Rural Nevada (2 plans: CareSource and SilverSummit Healthplan, described in the source as available "Everywhere in Nevada"). All three areas.<slug>.plans roster facts are quote-gate verified against nv-wa3753.txt. KNOWN SIMPLIFICATION, documented rather than silently smoothed over: a separate DHCFP state plan amendment filing (SPA_25-0030) describes the Rural service area as covering "all other counties in Nevada in addition to the rural areas of Washoe and Clark counties" -- i.e. Clark and Washoe counties are themselves split into an urban core and a rural remainder for managed-care purposes, a within-county split this schema's whole-county service_areas[].county_names cannot represent. Nevada's own consumer-facing enrollment materials (the same wa3753 Q&A) communicate plan choice to members using the simpler three-way urban Clark / urban Washoe / everywhere-else split without a finer county breakdown, so service_areas here assigns Clark and Washoe wholly to their urban areas and the remaining 15 counties (Carson City, Churchill, Douglas, Elko, Esmeralda, Eureka, Humboldt, Lander, Lincoln, Lyon, Mineral, Nye, Pershing, Storey, White Pine) to Rural Nevada. enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are all quote-gate verified against the same nv-wa3753.txt snapshot: portal_url uses the state's own domain root (https://www.medicaid.nv.gov/), quoted from the document's own "look for answers to your questions first at Medicaid.NV.gov" line (portal_name/phone/choice_window_days each cite their own separate line in the same document, detailed per-fact below). No enrollment broker exists here to log in broker-hosts-pending.md: the portal host is medicaid.nv.gov itself, a .gov domain, so it clears check:plans' host allowlist (assertion d) without any KNOWN_BROKER_HOSTS entry. Nevada Medicaid transitioned to a single statewide Preferred Drug List (sPDL) effective January 1, 2026 that "is used statewide, which means every Medicaid plan follows the same list" (a second Web Announcement, 3916, captured at seed/plans/snapshots/NV/nv-wa3916-spdl.txt); formulary_url on every plan record points to that shared list at nv.primetherapeutics.com/home, the same CA/TX/NY-style shared-formulary convention, cited informally (not a required fact field_path) via each plan's own sources[]. Per-plan extra_benefits are drawn from the same wa3753 flyer's own "Free Extra Benefits" column (a state document, not each plan's own site, but independently verifiable there too) and are cited informally, consistent with GA/NY/TX's standing convention that only the four required enrollment/roster fields carry facts[] entries. Per-plan provider_directory_url and member_phone were independently checked live on each plan's own official Nevada Medicaid page but are not separately fact-cited, the same standing as every other authored state today. Two open-enrollment date ranges appear across sources and are not the same thing: nv-wa3753 (dated October 2025) describes the one-time 2025-2026 transition-year window (October 1 to December 26, 2025, since passed); the state's standing Open Enrollment page (nevadamedicaid.nv.gov/medicaid-members/health-plan-home/open-enrollment/, captured at seed/plans/snapshots/NV/nv-open-enrollment.txt) describes the recurring annual window (November 1 to December 15). choice_window_note/switch_note describe the standing annual process, not the passed transition dates. Nevada Medicaid's own Q&A (Question 10) lists populations who remain in fee-for-service regardless of area or region: people with certain disabilities, Katie Beckett members, people in home and community-based waivers, youth in juvenile justice, American Indian and Alaska Native members, children in foster care, and members age 65 and older; the roster shown here applies to the general managed-care-eligible population, not every Nevada Medicaid recipient in these counties, a caveat for a human reviewer. quality.ncqa_rating stays null on every plan (unverifiable, per policy). Given every per-plan field beyond the four required facts stays uncited, the state as a whole stays unverified, the same standing as every other authored state today.

Servicios para miembros: 1-844-366-2880

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• Transportation or gas card

  SilverSummit offers help getting to appointments through a transportation benefit or a gas card.

• Quarterly allowance for use at CVS

  Eligible members get $30 every three months to spend at CVS on approved items.

• Delivered meals and childcare for new parents

  SilverSummit covers delivered meals, a crib and car seat, and four weeks of licensed childcare for maternity members, plus a monthly diaper allowance.

• Nevada Medicaid (Division of Health Care Financing and Policy) Obtenido el 2026-07-17
• SilverSummit Healthplan Obtenido el 2026-07-17

MAJOR MODELING CORRECTION FROM THE ORIGINAL TASK HYPOTHESIS: Nevada is NOT modeled as geography:"partial" (managed care limited to Clark/Washoe with fee-for-service everywhere else). Live research on medicaid.nv.gov confirmed that effective January 1, 2026, Nevada expanded Medicaid managed care statewide to all 17 counties (a Nevada Medicaid Web Announcement 3753 PDF, captured at seed/plans/snapshots/NV/nv-wa3753.txt, states this directly in its Managed Care Health Plans Questions and Answers insert). The old Clark/Washoe-only frame is now stale training-data knowledge, exactly the drift plans-v3-spec.md warned to check for live rather than assume. Nevada is modeled as geography:"regions" with three service areas that mirror the state's own consumer-facing framing in that same Q&A document (Question 2, "What plans are available where I live?"): Urban Clark County (5 plans: Anthem Blue Cross and Blue Shield Healthcare Solutions, CareSource, Health Plan of Nevada, Molina Healthcare of Nevada, SilverSummit Healthplan), Urban Washoe County (4 plans: the same five minus Health Plan of Nevada, which the same PDF's Web Announcement cover page and myhpnmedicaid.com's own provider notice both confirm exited the Washoe service area effective January 1, 2026), and Rural Nevada (2 plans: CareSource and SilverSummit Healthplan, described in the source as available "Everywhere in Nevada"). All three areas.<slug>.plans roster facts are quote-gate verified against nv-wa3753.txt. KNOWN SIMPLIFICATION, documented rather than silently smoothed over: a separate DHCFP state plan amendment filing (SPA_25-0030) describes the Rural service area as covering "all other counties in Nevada in addition to the rural areas of Washoe and Clark counties" -- i.e. Clark and Washoe counties are themselves split into an urban core and a rural remainder for managed-care purposes, a within-county split this schema's whole-county service_areas[].county_names cannot represent. Nevada's own consumer-facing enrollment materials (the same wa3753 Q&A) communicate plan choice to members using the simpler three-way urban Clark / urban Washoe / everywhere-else split without a finer county breakdown, so service_areas here assigns Clark and Washoe wholly to their urban areas and the remaining 15 counties (Carson City, Churchill, Douglas, Elko, Esmeralda, Eureka, Humboldt, Lander, Lincoln, Lyon, Mineral, Nye, Pershing, Storey, White Pine) to Rural Nevada. enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are all quote-gate verified against the same nv-wa3753.txt snapshot: portal_url uses the state's own domain root (https://www.medicaid.nv.gov/), quoted from the document's own "look for answers to your questions first at Medicaid.NV.gov" line (portal_name/phone/choice_window_days each cite their own separate line in the same document, detailed per-fact below). No enrollment broker exists here to log in broker-hosts-pending.md: the portal host is medicaid.nv.gov itself, a .gov domain, so it clears check:plans' host allowlist (assertion d) without any KNOWN_BROKER_HOSTS entry. Nevada Medicaid transitioned to a single statewide Preferred Drug List (sPDL) effective January 1, 2026 that "is used statewide, which means every Medicaid plan follows the same list" (a second Web Announcement, 3916, captured at seed/plans/snapshots/NV/nv-wa3916-spdl.txt); formulary_url on every plan record points to that shared list at nv.primetherapeutics.com/home, the same CA/TX/NY-style shared-formulary convention, cited informally (not a required fact field_path) via each plan's own sources[]. Per-plan extra_benefits are drawn from the same wa3753 flyer's own "Free Extra Benefits" column (a state document, not each plan's own site, but independently verifiable there too) and are cited informally, consistent with GA/NY/TX's standing convention that only the four required enrollment/roster fields carry facts[] entries. Per-plan provider_directory_url and member_phone were independently checked live on each plan's own official Nevada Medicaid page but are not separately fact-cited, the same standing as every other authored state today. Two open-enrollment date ranges appear across sources and are not the same thing: nv-wa3753 (dated October 2025) describes the one-time 2025-2026 transition-year window (October 1 to December 26, 2025, since passed); the state's standing Open Enrollment page (nevadamedicaid.nv.gov/medicaid-members/health-plan-home/open-enrollment/, captured at seed/plans/snapshots/NV/nv-open-enrollment.txt) describes the recurring annual window (November 1 to December 15). choice_window_note/switch_note describe the standing annual process, not the passed transition dates. Nevada Medicaid's own Q&A (Question 10) lists populations who remain in fee-for-service regardless of area or region: people with certain disabilities, Katie Beckett members, people in home and community-based waivers, youth in juvenile justice, American Indian and Alaska Native members, children in foster care, and members age 65 and older; the roster shown here applies to the general managed-care-eligible population, not every Nevada Medicaid recipient in these counties, a caveat for a human reviewer. quality.ncqa_rating stays null on every plan (unverifiable, per policy). Given every per-plan field beyond the four required facts stays uncited, the state as a whole stays unverified, the same standing as every other authored state today.