State Guide
Credentialing in Nevada
Enrollment guides for 50 payers operating in Nevada.
What actually differs in Nevada
Credentialing advice written for "most states" tends to be wrong here in specific, expensive ways. These are the rules that only apply in Nevada.
- Behavioral health integrated into the MCOs
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Nevada does not carve behavioral health out to a separate BHO or ASO, all health plans cover the same basic benefits including physical and behavioral health. After the 2026 statewide expansion, BH is predominantly MCO-delivered, with Gainwell FFS for the residual FFS population and the state public behavioral health system for state-operated services. A solo BH clinician credentials with the MCOs serving their county.
Nevada Medicaid enrollee/MCO information via kb/states/nv.md · checked Jul 2026
- Managed care went STATEWIDE January 1, 2026 Nev. Rev. Stat. § 422.273
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Nevada Medicaid managed care, historically urban-only (Clark and Washoe counties), expanded to all 17 counties on January 1, 2026 under NRS 422.273, moving about 75,000 rural members into MCOs while roughly 126,000 members remain fee-for-service. The five statewide MCOs: Anthem BCBS Healthcare Solutions, CareSource (the new fifth entrant), Health Plan of Nevada, Molina Healthcare of Nevada, and SilverSummit Healthplan. The implication for rural providers: FFS-only enrollment no longer reaches most members, credential with the MCOs serving your county.
DHCFP Statewide Managed Care Program via kb/states/nv.md · checked Jul 2026
- Interns enroll as QMHPs inside an agency (Pattern C) NV MSM Ch. 400 § 403 (eff. 2026-04-29)
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Nevada's master's-track interns (CSW Interns, LMFT and LCPC post-graduate interns) enroll in Medicaid themselves, provider type 14, specialty 300 (QMHP), but only inside an enrolled entity/agency/group, with reimbursement at the QMHP rate including clinical supervision by an independently licensed supervisor who assumes responsibility. Interns are excluded from functioning as clinical supervisors, and FA-11 authorizations need the clinical supervisor's signature alongside the intern's. The psychology track is the mirror image: psychological assistants, interns and trainees are supervisor-BILLED (Pattern B) and cannot ride the QMHP lane.
Nevada MSM Chapter 400 (current edition) via kb/states/nv.md · checked Jul 2026
- Counseling Compact status + board naming NRS 641A; NRS 641B
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Nevada is a Counseling Compact member (enacted 2025) but not yet issuing privileges as of July 2026. Note Nevada's naming: the LPC-equivalent is the CPC (Clinical Professional Counselor), licensed with MFTs on one board (NRS 641A); social workers license separately under NRS 641B.
counselingcompact.gov jurisdictions via kb/states/nv.md · checked Jul 2026
- State controlled-substance registration (Board of Pharmacy) NRS 632.237
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Nevada requires a State Board of Pharmacy controlled-substance registration on top of the DEA for physicians AND NPs/PAs. A separate prescribing gate that catches out-of-state groups. Nevada NPs otherwise have full practice authority including independent controlled-substance prescribing (NRS 632.237).
NV Board of Pharmacy CS registration via kb/states/nv.md · checked Jul 2026
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Get started freeWho Runs Nevada Medicaid Provider Enrollment
50-state researchEnrollment Portal
Nevada Medicaid provider portal
Operated By
Gainwell Technologies
Platform
State MMIS
From PayerReady's 50-state Medicaid enrollment platform research, verified July 2026. Portal contracts change; where an operator is in transition or not publicly confirmed, we say so rather than guess.
Aetna
Aetna (CVS Health)
Timeline: 90-150 days
CAQH Required
UnitedHealthcare
UnitedHealthcare
Timeline: 45-90 days
CAQH Required
Cigna Healthcare
Cigna Healthcare
Timeline: 45-60 days
CAQH Required
Anthem / Elevance Health
Anthem Blue Cross Blue Shield
Timeline: 45-90 days
CAQH Required
Humana
Humana
Timeline: 45-90 days
CAQH Required
Centene Corporation
Centene
Timeline: 60-90 days
CAQH Required
Molina Healthcare
Molina Healthcare of Nevada
Timeline: 60-90 days
CAQH Required
Anthem Blue Cross and Blue Shield of Nevada
Timeline: 45-60 days
CAQH Required
Nevada Medicaid
Timeline: 30-60 days
Molina Healthcare (Medicaid)
Molina Healthcare (Medicaid)
Timeline: 30-60 days
CAQH Required
TRICARE
Timeline: 30-90 days
TRICARE West Region (TriWest Healthcare Alliance)
Timeline: 30-60 days
CAQH Required
CHAMPVA
CHAMPVA (VA Office of Integrated Veteran Care)
Timeline: 14-45 days
Delta Dental
Delta Dental
Timeline: 90-120 days
Cigna Dental
Cigna Dental
Timeline: 45-90 days
CAQH Required
MetLife Dental
MetLife Dental
Timeline: 60-120 days
Guardian Dental
Guardian Dental
Timeline: 60-90 days
Aetna Dental
Aetna Dental
Timeline: 60-120 days
CAQH Required
United Concordia
United Concordia Dental
Timeline: 45-90 days
CAQH Required
DentaQuest
DentaQuest (a Sun Life company)
Timeline: 30-60 days
MCNA Dental
MCNA Dental
Timeline: 30-60 days
Liberty Dental Plan
LIBERTY Dental Plan
Timeline: 10-90 days
Dental Network of America
Timeline: 60-90 days
VSP Vision Care
VSP Vision Care
Timeline: 30-60 days
EyeMed Vision Care
EyeMed Vision Care
Timeline: 30-60 days
Davis Vision
Davis Vision (Versant Health / MetLife)
Timeline: 30-60 days
Spectera / UHC Vision
Spectera (UnitedHealthcare Vision)
Timeline: 30-60 days
Optum Behavioral Health
Optum Behavioral Health (United Behavioral Health)
Timeline: 30-45 days
CAQH Required
Carelon Behavioral Health
Carelon Behavioral Health (formerly Beacon Health Options)
Timeline: 30-60 days
CAQH Required
Magellan Health
Magellan Behavioral Health
Timeline: 30-60 days
CAQH Required
Evernorth Behavioral Health
Evernorth Behavioral Health (formerly Cigna Behavioral Health)
Timeline: 30-60 days
CAQH Required
Friday Health Plans
Timeline: 30-60 days
CAQH Required
Alignment Healthcare
Timeline: 30-60 days
CAQH Required
Workers' Compensation
Timeline: 14-60 days
Noridian Healthcare Solutions (Jurisdiction E)
Timeline: 60-90 days
Noridian Healthcare Solutions (DME A/D)
Timeline: 60-120 days
Ambetter
Ambetter (a Centene company)
Timeline: 60-90 days
CAQH Required
Amerigroup (Wellpoint)
Timeline: 60-90 days
CAQH Required
Anthem Blue Shield
Timeline: 60-90 days
CAQH Required
Blue Cross Blue Shield
Timeline: 60-90 days
CAQH Required
Carelon
Timeline: 60-90 days
CAQH Required
Centene Corporation
Wellcare (a Centene company)
Timeline: 60-90 days
CAQH Required
Community Plan
Timeline: 60-90 days
CAQH Required
Compsych
Timeline: 60-90 days
CAQH Required
Medicaid
Timeline: 60-90 days
CAQH Required
Medicare
Timeline: 60-90 days
CAQH Required
Medicare Fee-for-Service (CMS)
Timeline: 45-120 days
Megellan
Magellan Behavioral Health
Timeline: 60-90 days
CAQH Required
MultiPlan
MultiPlan / Claritev (PHCS Network)
Timeline: 60-90 days
CAQH Required
UnitedHealthcare Community Plan
Timeline: 30-60 days
CAQH Required
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
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