Clark County - File #: 22-0383

• File #: 22-0383
• Status: Agenda Ready
• File created: 3/8/2022
• In control: Clark County Board of Commissioners
• On agenda: 3/15/2022
• Title: Authorize the Chairman to sign the Interlocal Contract with the State of Nevada, on behalf of the Department of Health and Human Services; Division of Health Care Financing and Policy (DHCFP) and Division of Welfare and Supportive Services (DWSS), authorizing Clark County to provide to DHCFP the non-federal share for medical, administrative and transaction costs in accordance with the Nevada State Plan under Title XIX of the Social Security Act for coverage to eligible individuals, retroactively from July 1, 2021 through June 30, 2023; or take other action as appropriate. (For possible action)

Date	Action By	Action	Result
3/15/2022	Clark County Board of Commissioners	Approved as Recommended; Agenda note: Item No. 9 Minutes

CLARK COUNTY BOARD OF COMMISSIONERS

AGENDA ITEM

Petitioner:

Timothy Burch, Administrator of Human Services

Recommendation: 

title

Authorize the Chairman to sign the Interlocal Contract with the State of Nevada, on behalf of the Department of  Health and Human Services; Division of Health Care Financing and Policy (DHCFP) and Division of Welfare and Supportive Services (DWSS), authorizing Clark County to provide to DHCFP the non-federal share for medical, administrative and transaction costs in accordance with the Nevada State Plan under Title XIX of the Social Security Act for coverage to eligible individuals, retroactively from July 1, 2021 through June 30, 2023; or take other action as appropriate.  (For possible action)

body

FISCAL IMPACT:

Fund #:	1010.000/2380.000	Fund Name:	General Fund
Fund Center:	1270111000	Funded PGM/Grant:	N/A
Amount:	FY22 $26,854,453.93 /  FY23 $27,270,673.66
Description:	County Medicaid Match
Additional Comments:	N/A

BACKGROUND: 

This Interlocal Contract authorizes 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 to DHCFP for medical, administrative and transaction costs incurred as a result of this medical assistance program. Eligible Medicaid recipients covered by this contract meet institutional level of care criteria and are provided with either institutional or community-based waiver services. The contract states that DWSS will use criteria to determine resident eligibility that includes a percentage of the Supplemental Security Income Federal Benefit Rate prescribed annually by the Director. The Interlocal contract states that DHCFP will invoice the County retrospectively, on a monthly basis, 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 will also re-determine administrative costs each fiscal year based on negotiation with the fiscal agent and DWSS studies and notify the County of the administrative cost per case and the methodology used to make the determination at the beginning of the fiscal year. This contract also authorizes the County to pay an up-front reserve balance to the DHCFP which will be determined by the DHCFP based on a monthly average of the previous state fiscal year within thirty (30) working days of receipt of the notice.

This item has been approved as to form by the District Attorney’s Office.