Nevada_Executive_Budget_2013-2015

Activity: Care Management
The Care Management Organization (CMO) program provides additional coordination of medical
and behavioral health services for targeted recipients in the Nevada Medicaid fee-for-service
program (FFS); it does not perform actual medical services for enrollees. CMO enrollees are not
to receive fewer services than they would under regular FFS.
Performance Measures
1. Hospitalization and ER Visits for Chronic Conditions per Recipient
2009 2010 2011 2012 2013 2014 2015
Type: Actual Actual Actual Actual Projected Projected Projected
Amount: 1.785 1.904 1.908 1.892 1.9 1.9 1.9
2. Medical Cost for Chronic Conditions Per Chronic Care non-MCO Recipient
2009 2010 2011 2012 2013 2014 2015
Type: Actual Actual Actual Actual Projected Projected Projected
Dollars: 750,191 848,658 850,947 777,108 825,571 809,060 792,879
3. Increase to Primary Care Visits due Managing the Care of FFS Recipients
2009 2010 2011 2012 2013 2014 2015
Type: Actual Actual Actual Actual Projected Projected Projected
Amount: 253,143 281,921 300,893 321,440 334,137 334,137 330,796
Resources
Funding FY 2014 FY 2015
General Fund $ 622,210 590,871
FTE 1.32 1.35
Federal Fund $ 2,444,481 2,268,210
FTE 5.20 5.17
Transfers $ 12,656 13,263
FTE 0.03 0.03
Other $ 48,274 44,656
FTE 0.10 0.10
TOTAL $ 3,127,621 2,917,000
FTE 6.65 6.65
Objectives FY 2014 FY 2015
Access to Affordable Health
Care (Health Services)
3,127,621 2,917,000
DEPARTMENT OF HEALTH AND HUMAN SERVICES DHHS-DHCFP - 4
DHHS - HEALTH CARE FINANCING & POLICY