CLARK COUNTY BOARD OF COMMISSIONERS
AGENDA ITEM
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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 the Nevada Health Authority, and Clark County for the federally required participation share and administrative costs of the Directed Managed Care Organization Capitated Payment (Directed MCO Payment) program for inpatient and outpatient care. (For possible action)
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FISCAL IMPACT:
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Fund #: |
Various |
Fund Name: |
Various |
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Fund Center: |
Various |
Funded PGM/Grant: |
N/A |
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Amount: |
NONE |
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Description: |
N/A |
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Additional Comments: |
N/A |
BACKGROUND:
To preserve access to healthcare services for underinsured individuals in the State of Nevada at non-state governmentally owned hospitals, and to recognize the higher costs incurred by teaching programs when providing said services, the State of Nevada, Division of Health Care Financing and Policy (DHCFP) shall provide Supplemental Payments to non-state, governmental owned or operated teaching hospitals. On July 18, 2023, the Board of County Commissioners ("the Board") approved this interlocal contract to support the State’s supplemental Directed MCO Payment program for inpatient and outpatient care within University Medical Center (UMC) and is effective from July 1, 2023, through June 30, 2027, for a total contract not to exceed $257,377,683.
On September 3, 2024, the Board approved Amendment #1 increasing the County contribution by a total of $82,611,975 through the remainder of the contract period. $39,342,377 of the total increase represents billings for prior years that had been delayed but budgeted by the County under the terms of the interlocal agreement that expired on June 30, 2023. The remaining increase is due to increased volume anticipated from July 1, 2023, through June 30, 2027, for a total contract not to exceed $339,989,658.
Amendment #2 changes the name of the State Department from Department of Health and Human Services, Division of Health Care and Financing and Policy to Nevada Health Authority per the 83rd Legislative Session - SB494 effective July 1, 2025.