Communication with the Exchange
Insurance carriers are encouraged to email the Exchange with any questions or concerns. For information on SSHIX’s Monthly Insurance Carrier Meeting Series, including presentation materials and video recordings, visit https://www.nevadahealthlink.com/carrier-meetings/.
View rate filings on the Nevada Division of Insurance Site
Questions?
Send an email to the Plan Management team at:
pmanagement@exchange.nv.gov
Plan Year 2024 Information
- Plan Year 2024 Intent to Sell (Excel)
- Plan Year 2024 Intent to EDI Test (Excel)
- Network Supplemental Template (Excel)
- Formulary Drug Supplemental Template (Excel)
- Plan & Benefits Supplemental Template (Excel)
- Plan Year 2024 Draft Letter to Issuers Memo
- State Authorization of QHP_QDP Data Change Request
- Nevada 2024 QDP Checklist
- Nevada 2024 QHP Checklist
- SSHIX Plan Certification Guide
- SSHIX PY24 QHP Certification_Final
- Plan Year 2024 Final Letter to Issuers
Calendar Year 2024 Carrier Fees
Adoption Hearing February 16, 2023 for Calendar Year 2024
Plan Year 2023 Information
- Plan Year 2023 Draft Letter to Issuers Memo
- Plan Year 2023 Draft Letter to Issuers
- Plan Year 2023 Intent to EDI Test (Excel)
- Plan Year 2023 Intent to Sell (Excel)
- SSHIX Plan Certification Guide
- Plan Year 2023 Change Request Form
- Formulary Drug Supplemental Template (Excel)
- Network Supplemental Template (Excel)
- Plan & Benefits Supplemental Template (Excel)
- Plan Year 2023 Plan Certification Power Point
- Play Year 2023 Final Letter to Issuers
- Plan Year 2023 Plan Withdrawal Request Form
- Plan Year 2023 Qualified Health Plan Checklist
- Plan Year 2023 Qualified Dental Plan Checklist
Calendar Year 2023 Carrier Fees
Adoption Hearing February 24, 2022 for Calendar Year 2023
Plan Year 2022 Information
The links below contain Plan Year 2022 Exchange Carrier Guidelines for both QDP and QHP carriers.
- Plan Year 2022 Policy Manual
- Plan Year 2022 Final Letter to Issuers
- Plan Year 2022 Final Letter to Issuers Fact Sheet
- Plan Year 2022 SSHIX Plan Certification Guide
- Plan Year 2022 SSHIX QHP Checklist
- Plan Year 2022 SSHIX QDP Checklist
- Plan Year 2022 Qualified Health Plan Offerings (Final)
- Plan Year 2022 Qualified Dental Plan Offerings (Final)
The links below contain Plan Year 2022 Forms:
- Plan Year 2022 Intent to EDI Test
- Plan Year 2022 Intent to Sell
- Plan Year 2022 Supplemental Templates (Required)
Calendar Year 2022 Carrier Fees
Plan Year 2021 Information
Silver State Health Insurance Exchange Guidelines
The links below contain Plan Year 2021 Exchange Carrier Guidelines for both QDP and QHP carriers.
- Plan Year 2021 Final Letter to Issuers
- Plan Year 2021 SSHIX Plan Certification
- Plan Year 2021 SSHIX QHP Checklist
- Plan Year 2021 SSHIX QDP Checklist
- Plan Year 2021 SSHIX Data Change Request
- Plan Year 2021 SSHIX State Authorization Request
- Final Notice of Benefit and Payment Parameters
Plan Certification and Network Adequacy
- Model QHP Addendum for Indian Health Care Providers
- Network Adequacy for Stand Alone Dental Plans on Exchange
- SSHIX Plan Certification Guide
- Nevada On Exchange Service Areas
Calendar Year 2021 Carrier Fees
Policy Memos for Carriers
Plan Year 2021 Policy Manual Final
On August 5, 2020 the Exchange published a draft revised Nevada Health Link Policy Manual to solicit comments and feedback for a 30 day period. Below is the Final Nevada health Link Policy Manual Version 2.
How to Contact Your Insurance Carrier
Medical Carriers, contact information:
- Health Plan of Nevada (HPN)
- Call: 1-800-777-1840, M-F 8:00 AM to 5:00 PM
- Send Email/Fill out form
- Ambetter from Silver Summit
- Anthem (HMO Nevada)
- Call: 1-866-755-2680, M-F 8:00 AM to 8:00 PM
- Contact Us & Forms – Anthem NV
- Friday Health Plans
- Call: 1-844-535-2000
- Select Health
- Call: 1-800-538-5038
- Aetna CVS Health
- Call: 1-844-365-7373 (TTY: 711)
- Fill out contact us form
- Hometown Health Plan
- Call: 775-982-3232
Dental Carriers, contact information:
- Alpha Dental
- Call: 1-800-807-0706
- Fill out Contact Form
- Anthem – Rocky Mountain
- Call: 1-800-331-1476
- Shop Dental Plans in NV through Anthem
- Best Life
- Call: 1-877-205-8767
- Shop Dental Plans in NV through Best Life
- Delta Dental
- Call: 1-800-422-4234
- EMI
- Call: 1-800-662-5851, M-F 6:00 AM to 6:00 PM
- Contact Us and Forms
Vision Plans
VSP Individual Vision Plans
Call: 1-844-641-6718
SSHIX Documentation for Insurance Carriers
| Document Title | Current Version | Revision Date |
| GetInsured 834 Companion Guide (PDF) | 21.09.01.NV1 | 9/29/2021 |
| GetInsured 834 Companion Guide – Redline (PDF) | 21.09.01.NV1 | 9/29/2021 |
| Exchange-Issuer Reconciliation Guide (PDF) | 21.09.00.NV1 | 9/29/2021 |
| Exchange-Issuer Reconciliation Guide – Redline (PDF) | 21.09.00.NV1 | 9/29/2021 |
| SSHIX Plan Year 2021 EDI Carrier Testing Guide | 1.2 | 7/20/2020 |
| GetInsured Secure FTP Access Request Form | N/A | N/A |
| Instructions for Secure FTP Access Request Form | N/A | N/A |
| SSHIX Acceptable Use Policy | 22.01 | May 5, 2022 |
| SSHIX System Access Request Form (SBE Platform + Carrier Connector) | N/A | October 16, 2020 |
| SSHIX Reinstatement Request Form | 1.1 | March 9, 2020 |
| SSHIX Bulk Reinstatement Request Worksheet | 1.0 | March 10, 2020 |
| 2022 Monthly RCNI Submission Deadlines | 1.0 | December 29, 2021 |
| 2023 Monthly RCNI Submission Deadlines | 1.0 | November 16, 2022 |
Nevada Health Link Brand Standards
Download our Brand Standards Guide
Should you have questions, please email Katie Charleson at
kcharleson@exchange.nv.gov
