Nevada_Executive_Budget_2013-2015

HHS-HCF&P - INTERGOVERNMENTAL TRANSFER PROGRAM
101-3157
PROGRAM DESCRIPTION
The Intergovernmental Transfer (IGT) account collects payments from counties to be used as state matching funds for Medicaid expenditures, thus reducing the need for state General Fund
appropriations. Payments are collected from Clark and Washoe counties in support of supplemental Disproportionate Share Hospital (DSH) payments to hospitals. DSH payments support
facilities that serve a disproportionate share of Medicaid, indigent, or other low-income patients. This reduces the burden of uncompensated costs for these facilities. The IGT also collects
payments from counties to support supplemental Upper Payment Limit (UPL) payments to non-state public hospitals. The UPL program allows supplemental payments to non-state public
hospitals so that their overall Medicaid payments approximately equal what they would have been paid under the federal Medicare program. The proceeds are deposited to this account and
transferred as needed to Nevada Medicaid, budget account 3243, for the DSH and UPL payments, to Health Care Financing and Policy, budget account 3158, for related administrative costs,
to Nevada Check-Up, budget account 3178, to defray expenses, and the remainder balanced forward to reserve.
Statutory authority: NRS 422.380 through 422.390 and the Nevada State Plan under Title XIX of the Social Security Act.
BASE
This request continues funding for categorical expenditures.
2011-2012
ACTUAL
2012-2013
WORK
PROGRAM
2013-2014
AGENCY
REQUEST
2013-2014
GOVERNOR
RECOMMENDS
2014-2015
AGENCY
REQUEST
2014-2015
GOVERNOR
RECOMMENDS
RESOURCES:
BALANCE FORWARD FROM PREVIOUS YEAR 22,999,262 529,220 0 0 0 0
BALANCE FORWARD TO NEW YEAR -529,219 0 0 0 0 0
RECEIPTS FROM LOCAL GOVERNMENT 60,134,153 56,552,233 52,993,865 52,993,865 51,184,158 51,184,159
COUNTY REIMBURSEMENTS 999,540 2,103,556 1,359,285 1,315,039 1,446,324 1,387,273
COUNTY FEES 49,453,118 39,638,228 38,752,462 38,502,759 42,208,944 42,458,485
SCHOOL DISTRICT REIMBURSEMENTS 4,159,581 3,634,129 4,015,599 3,914,271 4,380,616 4,232,663
COUNTY ASSESSOR TRNG RECEIPTS 7,935,607 4,786,178 7,405,373 7,273,046 8,277,181 7,997,731
COUNTY APPRAISAL RECEIPTS 6,822,412 0 5,962,269 6,027,009 6,429,394 6,649,075
TREASURER'S INTEREST DISTRIB 295,460 455,360 295,460 295,460 295,460 295,460
TOTAL RESOURCES: 152,269,914 107,698,904 110,784,313 110,321,449 114,222,077 114,204,846
EXPENDITURES:
TRANSFER TO BA 3243 - MEDICAID 151,492,983 107,426,605 110,393,157 109,936,725 113,834,392 113,825,119
TRANSFER TO BA 3178 - NEVADA CHECK-UP 626,931 72,299 191,156 184,724 187,685 179,727
TRANSFER TO B/A 3158 DHCFP ADMIN 0 50,000 50,000 50,000 50,000 50,000
PAYMENTS TO HOSPITALS 150,000 150,000 150,000 150,000 150,000 150,000
TOTAL EXPENDITURES: 152,269,914 107,698,904 110,784,313 110,321,449 114,222,077 114,204,846
DEPARTMENT OF HEALTH AND HUMAN SERVICES DHHS-DHCFP - 13
DHHS - HEALTH CARE FINANCING & POLICY