Nevada Medicaid Program Overview
Enrollment, funding, and managed care facts for Nevada Medicaid.
Get Nevada's Medicaid Fee Schedule →Enrollment
Nevada Medicaid covered approximately 0.71-0.82M people. Two independent sources give different-period figures for total Nevada Medicaid/CHIP enrollment: KFF's state indicator (714,071, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (824,507 total Medicaid enrollees, July 1, 2024). Consistent with continued post-pandemic 'unwinding' enrollment decline between mid-2024 and mid-2026, not a data error. Reported as a range rather than a single false-precision number.
Funding & federal match
Nevada has adopted ACA Medicaid expansion, effective 2014-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Nevada's Federal Medical Assistance Percentage (FMAP) is 59.8%.
Delivery system & managed care
A large share of Nevada Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 74.1-75.7% of Medicaid enrollees.
Waivers
Nevada operates Medicaid managed care under the NV HCBS Waiver for Individuals with Intellectual and Developmental Disabilities (0125.R08.00), a Section 1915(c) demonstration waiver. Home and community-based services waiver for individuals with intellectual and developmental disabilities, administered by Nevada's Aging and Disability Services Division (ADSD) under DHCFP. Current approval period October 1, 2023 through September 30, 2028.
Nevada operates Medicaid managed care under the NV Home and Community Based Services (HCBS) Waiver for Persons with Physical Disabilities (4150.R07.00), a Section 1915(c) demonstration waiver. Home and community-based services waiver for aged individuals 65+ and physically disabled individuals ages 0-64, administered by Nevada ADSD under DHCFP. Originally approved 1990; current approval period January 1, 2023 through December 31, 2027.
Frequently Asked Questions
Get Nevada's Free Medicaid Fee Schedule
Request actual Nevada Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GPO - Federal Financial Participation in State Assistance Expenditures, FFY2026 FMAP Notice (2024-27910), Table 1
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 6 (FMAPs and E-FMAPs by State, FYs 2023-2026)
- KFF - Status of State Medicaid Expansion Decisions
- healthinsurance.org - Medicaid eligibility and enrollment in Nevada
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 29 (Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022)
- Medicaid.gov - NV HCBS Waiver for Individuals with Intellectual and Developmental Disabilities
- Nevada DHCFP - 1115/1915 Demonstration Waivers
- Medicaid.gov - NV HCBS Waiver for Persons with Physical Disabilities
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.