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On agenda:
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5/6/2025
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Final action:
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5/6/2025
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Title:
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Approve and ratify an Amendment to the Interlocal Contract with 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)-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; and authorize the Chair to sign the Amendment; or take other action as appropriate. (For possible action)
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CLARK COUNTY BOARD OF COMMISSIONERS
AGENDA ITEM
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Petitioner: |
Jessica Colvin, Chief Financial Officer |
Recommendation:
title
Approve and ratify an Amendment to the Interlocal Contract with 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)-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; and authorize the Chair to sign the Amendment; or take other action as appropriate. (For possible action)
body
FISCAL IMPACT:
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Fund #: |
1010.000 |
Fund Name: |
General Fund |
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Fund Center: |
1270111000 |
Funded PGM/Grant: |
N/A |
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Amount: |
$74,676,683.08 |
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Description: |
State Medicaid Match |
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Additional Comments: |
The initial Contract amount was FY24 $26,364,170.48; FY25 $26,364,170.48; FY26 $26,364,170.48; and FY27 $26,364,170.48, Amendment No. 1 will increase the Contract Amount by FY24 $10,082,028.97; FY25 $27,661,089.54; FY26 $17,504,489.91; and FY27 $19,429,074.66 for a total of $74,676,683.08 and a new total Contract amount of $180,133,365. |
BACKGROUND:
On January 16, 2024, the Board of County Commissioners (Board) approved the award 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 $105,456,681.92. 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 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 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.
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