Nevada Medicaid Open Enrollment 2026: October 1 – 31

Nevada Medicaid managed-care open enrollment is October 1 – 31. Your new plan starts the following January 1. This is your window to change health plans if you want different free extras.

Four separate calendars: Medicaid plan changes, October 1 – 31. Nevada Health Link (ACA), November 1 – January 15. Medicare annual enrollment, October 15 – December 7. Medicaid eligibility itself can be applied for year-round through Access Nevada.

Verified August 20, 2026 against Nevada Medicaid published guidance. Benefits and rules change — confirm with your plan.

The 90-day do-over window

If you pick a new plan during open enrollment and change your mind, you have 90 days from January to change one more time, and it must be received by March 31.

Switching for cause

You can request Disenrollment for Cause at any time. Reasons include:

You moved out of the service area
The plan doesn't cover a service for moral or religious reasons
Related services are not all available in network
Your long-term services provider left the network
Poor quality of care
Lack of access to providers experienced with your needs

“Your doctor cannot ask for the change. You must ask to switch plans.”

How to change your plan

The NVMedicaid App
nvmmis.mco@GainwellTechnologies.com
Or mail the form to: NV Medicaid, MCO Changes, P.O. Box 30042, Reno, NV 89520

State help line: (866) 569-1746, TTY 7-1-1

If you lost Medicaid

If you lost Medicaid for 2 months or less you return to your prior plan; more than 2 months and you may choose again.

Next step

Compare the free extras from all five plans: 2026 plan comparison.

Frequently asked questions

When is Nevada Medicaid open enrollment?

October 1 – 31, for changing health plans. Your new plan starts the following January 1.

Is that the same as Nevada Health Link or Medicare enrollment?

No, those are separate calendars. Medicaid plan changes are October 1 – 31. Nevada Health Link (ACA) runs November 1 – January 15. Medicare annual enrollment is October 15 – December 7. And Medicaid eligibility applications are accepted year-round through Access Nevada.

Can I change my mind after picking a new plan?

Yes. If you pick a new plan during open enrollment and change your mind, you have 90 days from January to change one more time, and it must be received by March 31.

Can I switch plans outside open enrollment?

You can request Disenrollment for Cause at any time. Reasons include: you moved out of the service area; the plan doesn't cover a service for moral or religious reasons; related services are not all available in network; your long-term services provider left the network; poor quality of care; or lack of access to providers experienced with your needs.

Can my doctor request the change for me?

No. The state says it directly: your doctor cannot ask for the change. You must ask to switch plans.

I lost Medicaid for a while. Which plan will I have?