CENTENE SUBSIDIARY SILVERSUMMIT HEALTHPLAN AWARDED NEVADA MEDICAID CONTRACT

Rhea-AI Summary

Centene (NYSE: CNC) announced that its Nevada subsidiary, SilverSummit Healthplan, has been awarded a five-year Medicaid managed care contract by the Nevada Department of Health and Human Services, starting January 1, 2026, with a possible two-year extension.

The contract marks a significant expansion of Medicaid Managed Care into rural and frontier service areas that were previously fee-for-service. SilverSummit, serving Nevada since 2017 with over 100,000 members, will provide comprehensive services including primary care, telehealth, pharmacy, maternal and behavioral health services.

Additionally, Ambetter from SilverSummit HealthPlan was selected as one of three providers for Nevada's marketplace public option, the Battle Born State Plan (BBSP). This five-year contract, also beginning January 1, 2026, with a potential two-year extension, is expected to serve 16,000 individuals in its first year.

AI-generated analysis. How Rhea-AI works. Not financial advice.

News Market Reaction – CNC

+2.36%

+2.36% News Effect

On the day this news was published, CNC gained 2.36%, reflecting a moderate positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

See more from StockTitan in Google Search and AI answers. Adds StockTitan as a preferred source · opens Google

Add on Google Not now

ST. LOUIS, April 10, 2025 /PRNewswire/ -- Centene Corporation (NYSE: CNC), a leading healthcare enterprise committed to helping people live healthier lives, announced today that its Nevada subsidiary, SilverSummit Healthplan, Inc. (SilverSummit), has been selected by the Nevada Department of Health and Human Services to provide services for its Medicaid managed care program. For the first time the program will include expansion of Medicaid Managed Care into rural and frontier service areas, communities that were previously fee-for-service. Subject to state approval, the five-year contract is expected to begin January 1, 2026, with a possible two-year extension. 

"We're grateful for the opportunity to help expand access to affordable, quality healthcare in Nevada, and we're looking forward to building upon our existing provider and community partnerships in the state to deliver local solutions to Medicaid members," said Chief Executive Officer of Centene, Sarah London. "It's an honor to be entrusted with this important work that is consistent with our mission to transform the health of the communities we serve, one person at a time."

SilverSummit Healthplan has served Nevada Medicaid members since 2017 and currently serves over 100,000 members. Starting January 1, 2026, SilverSummit will continue to serve Medicaid members providing managed care services including primary care, telehealth, pharmacy, maternal and behavioral health, while expanding provider networks and empowering local care organizations to reach Nevadans in rural and frontier counties. 

"Since being awarded the Nevada Medicaid contract in 2017, SilverSummit has worked diligently to meet our mission of helping our Nevadan members live healthier lives," said SilverSummit Healthplan President and CEO, Eric Schmacker. "Reaching urban, rural and frontier residents requires thoughtful, comprehensive healthcare solutions, and we are honored to be selected to continue our commitment to the State, our community partners and especially our members." 

Ambetter from SilverSummit HealthPlan, SilverSummit's marketplace offering, was also one of three bidders selected by the Nevada Department of Health and Human Services for its marketplace public option, the Battle Born State Plan (BBSP). Effective January 1, 2026, the five-year contract includes a potential two-year extension and is expected to cover 16,000 individuals in the first year. 

About Centene Corporation 
Centene Corporation, a Fortune 500 company, is a leading healthcare enterprise that is committed to helping people live healthier lives. The Company takes a local approach – with local brands and local teams – to provide fully integrated, high-quality and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Centene offers affordable and high-quality products to more than 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace. 

Centene uses its investor relations website to publish important information about the Company, including information that may be deemed material to investors. Financial and other information about Centene is routinely posted and is accessible on Centene's investor relations website, http://investors.centene.com/. 

About SilverSummit Healthplan 

SilverSummit Healthplan (SilverSummit) is a managed care plan that provides Medicaid and marketplace health insurance to the people of Nevada. Established in 2017, SilverSummit exists to improve the health of its members through focused, compassionate and coordinated care. SilverSummit is a Centene Corporation company. For more information, visit www.silversummithealthplan.com.

Forward-Looking Statements 

All statements, other than statements of current or historical fact, contained in this press release are forward-looking statements. Without limiting the foregoing, forward-looking statements often use words such as "believe," "anticipate," "plan," "expect," "estimate," "intend," "seek," "target," "goal," "may," "will," "would," "could," "should," "can," "continue" and other similar words or expressions (and the negative thereof). Centene Corporation and its subsidiaries (Centene, the Company, our or we) intends such forward-looking statements to be covered by the safe-harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995, and we are including this statement for purposes of complying with these safe-harbor provisions. In particular, these statements include, without limitation, statements about expected contract start dates and terms, our expected future operating or financial performance, changes in laws and regulations (including but not limited to, renewal and modification of the enhanced advance premium tax credits associated with the Marketplace product), market opportunity, competition, expected activities in connection with completed and future acquisitions and dispositions, our investments and the adequacy of our available cash resources. These forward-looking statements reflect our current views with respect to future events and are based on numerous assumptions and assessments made by us in light of our experience and perception of historical trends, current conditions, business strategies, operating environments, future developments and other factors we believe appropriate. By their nature, forward-looking statements involve known and unknown risks and uncertainties and are subject to change because they relate to events and depend on circumstances that will occur in the future, including economic, regulatory, competitive and other factors that may cause our or our industry's actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance, or achievements expressed or implied by these forward-looking statements. These statements are not guarantees of future performance and are subject to risks, uncertainties and assumptions. All forward-looking statements included in this press release are based on information available to us on the date hereof. Except as may be otherwise required by law, we undertake no obligation to update or revise the forward-looking statements included in this press release, whether as a result of new information, future events, or otherwise, after the date hereof. You should not place undue reliance on any forward-looking statements, as actual results may differ materially from projections, estimates, or other forward-looking statements due to a variety of important factors, variables and events including, but not limited to: our ability to design and price products that are competitive and/or actuarially sound including but not limited to any impacts resulting from Medicaid redeterminations; our ability to maintain or achieve improvement in the Centers for Medicare and Medicaid Services (CMS) Star ratings and maintain or achieve improvement in other quality scores in each case that could impact revenue and future growth; our ability to accurately predict and effectively manage health benefits and other operating expenses and reserves, including fluctuations in medical utilization rates; competition, including for providers, broker distribution networks, contract reprocurements and organic growth; our ability to adequately anticipate demand and timely provide for operational resources to maintain service level requirements in compliance with the terms of our contracts and state and federal regulations; our ability to manage our information systems effectively; disruption, unexpected costs, or similar risks from business transactions, including acquisitions, divestitures, and changes in our relationships with third party vendors; impairments to real estate, investments, goodwill, and intangible assets; changes in senior management, loss of one or more key personnel or an inability to attract, hire, integrate and retain skilled personnel; membership and revenue declines or unexpected trends; rate cuts, insufficient rate changes or other payment reductions or delays by governmental payors and other risks and uncertainties affecting our government businesses; changes in healthcare practices, new technologies, and advances in medicine; our ability to effectively and ethically use artificial intelligence and machine learning in compliance with applicable laws; increased healthcare costs; inflation and interest rates; the effect of social, economic, and political conditions and geopolitical events, including as a result of changes in U.S. presidential administrations or Congress; changes in market conditions; changes in federal or state laws or regulations, including changes with respect to income tax reform or government healthcare programs as well as changes with respect to the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act (collectively referred to as the ACA) and any regulations enacted thereunder, including the timing and terms of renewal or modification of the enhanced advance premium tax credits or program integrity initiatives that could have the effect of reducing membership or profitability of our products; uncertainty concerning government shutdowns, debt ceilings or funding; tax matters; disasters, climate-related incidents, acts of war or aggression or major epidemics; changes in expected contract start dates and terms; changes in provider, broker, vendor, state, federal, and other contracts and delays in the timing of regulatory approval of contracts, including due to protests and our ability to timely comply with any such changes to our contractual requirements or manage any unexpected delays in regulatory approval of contracts; the expiration, suspension, or termination of our contracts with federal or state governments (including, but not limited to, Medicaid, Medicare or other customers); the difficulty of predicting the timing or outcome of legal or regulatory audits, investigations, proceedings or matters, including, but not limited to, our ability to resolve claims and/or allegations made by states with regard to past practices on acceptable terms, or at all, or whether additional claims, reviews or investigations will be brought by states, the federal government or shareholder litigants, or government investigations; challenges to our contract awards; cyber-attacks or other data security incidents or our failure to comply with applicable privacy, data or security laws and regulations; the exertion of management's time and our resources, and other expenses incurred and business changes required in connection with complying with the terms of our contracts and the undertakings in connection with any regulatory, governmental, or third party consents or approvals for acquisitions or dispositions; any changes in expected closing dates, estimated purchase price, or accretion for acquisitions or dispositions; losses in our investment portfolio; restrictions and limitations in connection with our indebtedness; a downgrade of our corporate family rating, issuer rating or credit rating of our indebtedness; the availability of debt and equity financing on terms that are favorable to us and risks and uncertainties discussed in the reports that Centene has filed with the Securities and Exchange Commission (SEC). This list of important factors is not intended to be exhaustive. We discuss certain of these matters more fully, as well as certain other factors that may affect our business operations, financial condition, and results of operations, in our filings with the SEC, including our annual report on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K. Due to these important factors and risks, we cannot give assurances with respect to our future performance, including without limitation our ability to maintain adequate premium levels or our ability to control our future medical and selling, general and administrative costs.

View original content to download multimedia:https://www.prnewswire.com/news-releases/centene-subsidiary-silversummit-healthplan-awarded-nevada-medicaid-contract-302426106.html

SOURCE CENTENE CORPORATION

FAQ

What is the duration of SilverSummit's new Nevada Medicaid contract?

The contract is for five years starting January 1, 2026, with a possible two-year extension.

How many members does SilverSummit Healthplan currently serve in Nevada?

SilverSummit Healthplan currently serves over 100,000 Medicaid members in Nevada.

What new areas will CNC's SilverSummit cover under the 2026 Nevada contract?

The contract expands Medicaid Managed Care into rural and frontier service areas that were previously fee-for-service.

What services will SilverSummit provide under the new Nevada Medicaid contract?

SilverSummit will provide primary care, telehealth, pharmacy, maternal and behavioral health services, while expanding provider networks.

How many individuals is the Battle Born State Plan expected to cover in its first year?

The Battle Born State Plan is expected to cover 16,000 individuals in its first year, starting January 1, 2026.