Existing law requires the Director of the Department of Health and Human Services to develop and the Department to administer a State Plan for Medicaid, which includes a list of specific medical services required to be provided to Medicaid recipients. (NRS 422.063, 422.270) Section 1 of this bill requires the Director to include in the State Plan for Medicaid, to the extent that federal financial participation is available, a requirement that the State pay the nonfederal share of expenditures for outpatient services and swing-bed services provided at a critical access hospital. Section 1 also requires Medicaid to reimburse a critical access hospital for such services at a rate equal to the actual cost of providing the services or the amount charged by the critical access hospital for the services, whichever is less. Section 2 of this bill makes a conforming change to indicate that the provisions of section 1 will be administered in the same manner as the provisions of existing law governing the State Plan for Medicaid. Section 2.5 of this bill makes appropriations to and authorizes expenditures by the Division of Health Care Financing and Policy of the Department for providing such cost-based reimbursement under Medicaid to critical care hospitals.

Statutes affected:
As Introduced: 232.320
Reprint 1: 232.320
As Enrolled: 232.320
BDR: 232.320