Nevada

Although there are no formal public patient-centered medical home (PCMH) programs in the state, the Nevada Division of Health Care Financing and Policy (DHCFP) has identified the most pervasive high cost and chronic conditions for persons served through the fee-for-service (FFS) system. Because the care enrollees received in Nevada’s FFS program have historically been unmanaged, the DHCFP estimates that costs for providing care to persons with chronic illness will only escalate. To curtail the costs and provide appropriate care navigation assistance to persons with chronic illness, the state has identified a distinct need for a comprehensive care management program, namely, the Nevada Comprehensive Care Waiver (NCCW) program. The DHCFP as well as its sister agencies and counties are partnering with the Centers for Medicare and Medicaid Services (CMS) and the Substance Abuse and Mental Health Administration (SAMHSA) to develop both the NCCW program and a model for Health Homes and Care Management and Coordination.

Primary Care Innovations and PCMH Activity

Dual Eligible	2703 SPA	CPC	CPC+	PCMH QHP	PCMH Legislation	Private Payer

Public Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program	Outcomes
CMS State Innovation Model (SIM) Design Award - Nevada	Grant	Statewide	CMS State Innovation Model (SIM)

Private Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program
Cigna Accountable Care Program - Healthcare Partners Nevada	Commercial	Las Vegas area	Cigna Collaborative Care Program
Enhanced Personal Health Care Program - Nevada	Commercial	Statewide	Anthem - Enhanced Personal Health Care
MGM Resorts’ Direct Care Health Plan	Commercial	Las Vegas Area
Turntable Health - Iora Health	Commercial	Las Vegas area	Iora Health

State Legislation

Legislation	Status	Year
AB 6 Primary care spending would be subject to measurement, analysis and annual reporting under this broader legislation establishing health care spending growth benchmarks for the state.	Passed Chamber of Origin	2023