Nevada Medicaid History and Facts

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Initial Medicaid Implementation: Nevada began their Medicaid program in July of 1967. The program was originally named SAMI (State Aid for the Medically Indigent). When the program began the state was initially running ahead of their budget despite the fact that categorical eligibility was limited compared to the experience in other states. When the program began, the state did not offer Medicaid coverage to the “medically indigent.”

Key Medicaid Political Issues: In the 1980’s Nevada established a County Match Program which gave counties matching dollars to serve certain populations. Under this program the county provides funding to the state in exchange for matching funds for services provided under the Medicaid program. The program is funded in part through provider taxes. In recent years the state has had a focus on mental health, applying for a waiver that would increase the amount private mental health care providers can bill by nearly double the previous levels. The state became the first to pass Medicaid Buy-In legislation through the legislature in 2017. The governor ultimately vetoed the policy.

Medicaid Expansion Implementation: Nevada expanded Medicaid as part of the Affordable Care Act with enrollment beginning in October of 2013 and coverage beginning in January of 2014. At the time, Nevada became the first state with a Republican governor to decide to expand under the Affordable Care Act. The state’s Medicaid expansion had been largely been quite until the 2017 Congressional repeal votes would end the expansion and block grant Medicaid. Then Governor Sandoval came to the defense of the Medicaid program.

General facts about Nevada Medicaid:

Medicaid program name: Medicaid

CHIP Program name: Nevada Check Up

Separate or combined CHIP: Combination

Medicaid Enrollment: 647,000 (2018 estimate)

Total Medicaid Spending: $3.56 billion (FY 2017 estimate)

Share of total population covered by Medicaid: 18% (estimate)

Share of Children covered by Medicaid: 33% (estimate)

Share of Medicaid that is Children and Adults: 80%

Share of Spending on Elderly and people with disabilities: 59%

Share of Nursing Facility Residents covered by Medicaid: 55%

FMAP: 64.87%

Expansion state: Yes

Number of people in expansion: 204,000 (2018 estimate)

Work Requirement: None



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