CLARK COUNTY BOARD OF COMMISSIONERS
AGENDA ITEM
|
Petitioner: |
Jessica Colvin, Chief Financial Officer |
Recommendation:
title
Approve, adopt, and authorize the Chair to sign a second amendment to the Interlocal Contract between the Department of Health and Human Services Division of Health Care Financing and Policy (DHCFP) amended to Nevada Health Authority, Nevada Medicaid; and Department of Health and Human Services Division of Welfare and Supportive Services (DWSS) amended to Department of Human Services, Division of Social Services, which authorizes Clark County to provide to DHCFP the non-federal share of costs for medical, administrative, and transaction expenditures in accordance with the Nevada State Plan under Title XIX of the Social Security Act for coverage to eligible individuals dated July 1, 2023. (For possible action)
body
FISCAL IMPACT:
|
Fund #: |
Various |
Fund Name: |
Various |
|
Fund Center: |
Various |
Funded PGM/Grant: |
N/A |
|
Amount: |
NONE |
|
Description: |
N/A |
|
Additional Comments: |
N/A |
BACKGROUND:
On January 16, 2024, the Board of County Commissioners (Board) approved the award of the Interlocal Contract to provide to DHCFP the non-federal share of cost for medical, administrative, and transaction expenditures for coverage to eligible individuals to DHCFP/DWSS in the amount of $105,456,682. This Interlocal Contract authorized DWSS and DHCFP to provide the administrative services necessary to implement the program of medical assistance to individuals who meet financial and medical eligibility criteria, and the County to provide the non-federal share of costs to DHCFP for medical, administrative and transaction expenditures incurred through this program. Eligible Medicaid recipients covered by this Contract meet institutional or community-based waiver services DWSS uses criteria to determine resident eligibility that includes a percentage of the Supplemental Security Income Federal Benefit Rate. DHCFP invoices the County retrospectively, monthly based on actual expenditures as determined by the criteria established and set forth in the Division's Title XIX State Plan and related policies and procedures. DHCFP re-determines administrative costs each fiscal year based on negotiations with the fiscal agent and DWSS studies and notifies the County of the administrative cost per case and the methodology used to make the determination at the beginning of the fiscal year. The County is also authorized to pay an up-front reserve balance to DHCFP which is determined by DHCFP based on a monthly average of the previous state fiscal year within thirty (30) working days of the receipt of notice.
On May 6, 2025, the Board approved Amendment #1 increasing the County contribution by a total of $74,676,683 through the remainder of the contract period for a total contract not to exceed $180,133,365.
Amendment #2 changes the name of the State Departments from Department of Health and Human Services, Division of Health Care and Financing and Policy to Nevada Health Authority, Nevada Medicaid and from Department of Health and Human Services, Division of Welfare Support Services to Department of Human Services, Division of Social Services, per the 83rd Legislative Session - SB494 effective July 1, 2025.