The Improve Health Care Quality and Access account was created to establish a provider tax on Medicaid providers pursuant to NRS 422.3794. The intent of this program is to enhance the rate of reimbursement for Medicaid Fee-For-Services and to increase case management and care coordination aimed at improving patient outcomes within managed care plans in Nevada. The tax rate is based on 6% of net patient revenues (42 CFR 433.68). The proceeds of the tax are deposited to this account and used as the non-federal share of a supplemental payment to private hospitals in Nevada, including a 15% administrative fee for operations and state risk. The funds collected are transferred on a quarterly basis to Nevada Medicaid, Title XIX, budget account 3243, to make supplemental payments to private hospitals caring for Medicaid recipients and to Health Care Financing and Policy Administration, budget account 3158, for related administrative costs. The remainder, if any, is balanced forward to reserves. Statutory Authority: NRS 422.3791 through 422.3795.