Specialty Managed Care Plan

The State of Nevada is seeking proposals from qualified vendors to provide specialty risk-based capitated Managed Care services for children and young adults with complex behavioral health needs. The plan aims to improve access to comprehensive physical, behavioral health, and pharmacy Medicaid Covered Services. The contract term is expected to be five years, subject to Board of Examiners approval, with the possibility of a two-year extension. Key responsibilities include providing managed care services, care management, and ensuring compliance with the Americans with Disabilities Act. • The vendor will be responsible for providing services to a specific child and young adult population in all counties of Nevada. • The vendor must adhere to all authorities, including Titles XIX and XXI of the Social Security Act and the implementing regulations. • The vendor must provide a strengths-based system of community-based services that effectively engages families in service planning. • The vendor must ensure that services are family-driven, Enrollee-guided, and culturally and linguistically competent. • The vendor must comply with the terms of the attached standard form contract and insurance schedule.