Managed Care Organization (MCO)

The Nevada Department of Health and Human Services, Division of Health Care Financing and Policy, is seeking proposals from qualified vendors to provide risk-based capitated Managed Care Organization (MCO) services. These services are intended to support the Medicaid programs under the Social Security Act Titles XIX and XXI, specifically focusing on medical assistance programs such as the State Children’s Health Insurance Program. The solicitation, titled "Managed Care Organization (MCO)," was posted on October 21, 2024, with a deadline for responses set for January 3, 2025. The contract is expected to be valued between $500 million and $1 billion, reflecting its significant scope and importance. The solicitation is managed under NAICS code 524114, which pertains to direct health and medical insurance carriers, and is categorized as a State and Local Government (SLED) procurement. Interested vendors are encouraged to review the detailed bid information through the Nevada eProcurement portal. The primary point of contact for inquiries is the Carson City Office of the Department, accessible via email at fiscal@adsd.nv.gov or by phone at 775-687-0579. This contract aims to enhance managed care services across Nevada, ensuring the delivery of comprehensive health coverage to eligible populations under the state's Medicaid and CHIP programs.