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Medicaid Chart Pack June 2018 DHHS Director's Office 1 of 30 6/14/2018

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Page 1: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

Medicaid Chart PackJune 2018

DHHS Director's Office 1 of 30 6/14/2018

Page 2: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

0

10,000

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Pending Applications

Unregistered Applications Family Medical (FMC) Aged, Blind, and Disabled (MAABD)

Note: Beginning 4/3/15, the unregistered applications data includes all applications submitted electronically and not just FMC and MAABD.

Page 3: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

Pending Applications

Pending <= 45

Days

Pending > 45

Days

Total

Applications

Pending <= 45

Days

Pending 46-90

Days

Pending > 90

Days

Total

Applications

Unregistered

ApplicationsDate

Family Medical (FMC) Aged, Blind, and Disabled (MAABD) Total Medicaid

Pending

Applications

5/1/18 419 2,938 19 2,957 1,135 103 52 1,290 4,666

5/2/18 292 2,971 19 2,990 1,087 97 55 1,239 4,521

5/3/18 202 2,901 19 2,920 1,080 92 56 1,228 4,350

5/4/18 521 2,850 18 2,868 1,073 92 57 1,222 4,611

5/7/18 281 2,899 21 2,920 1,086 106 57 1,249 4,450

5/8/18 254 2,864 23 2,887 1,068 104 57 1,229 4,370

5/9/18 185 2,867 24 2,891 1,063 99 56 1,218 4,294

5/10/18 115 2,738 23 2,761 1,038 92 52 1,182 4,058

5/11/18 456 2,641 23 2,664 1,023 88 52 1,163 4,283

5/14/18 413 2,713 23 2,736 1,014 95 54 1,163 4,312

5/15/18 281 2,821 23 2,844 990 102 52 1,144 4,269

5/16/18 293 2,730 21 2,751 988 96 54 1,138 4,182

5/17/18 183 2,671 25 2,696 975 87 54 1,116 3,995

5/18/18 438 2,600 23 2,623 968 88 55 1,111 4,172

5/21/18 219 2,720 24 2,744 953 93 54 1,100 4,063

5/22/18 177 2,610 24 2,634 920 92 57 1,069 3,880

5/23/18 185 2,525 22 2,547 877 90 54 1,021 3,753

5/24/18 155 2,492 22 2,514 870 86 55 1,011 3,680

5/25/18 530 2,487 21 2,508 849 88 57 994 4,032

5/29/18 349 2,626 23 2,649 840 104 55 999 3,997

5/30/18 264 2,646 22 2,668 842 96 56 994 3,926

5/31/18 200 2,620 21 2,641 853 90 58 1,001 3,842

DHHS Director's Office 3 of 30 6/14/2018

Page 4: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

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10,000

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l-1

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Au

g-1

6

Sep

-16

Oct

-16

No

v-1

6

De

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Jan

-17

Feb

-17

Mar

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May

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Jun

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Jul-

17

Au

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Sep

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-18

Feb

-18

Mar

-18

Ap

r-1

8

May

-18

Jun

-18

Mo

nth

ly A

vera

gePending Applications (Monthly Average)

Unregistered Applications Family Medical (FMC) Aged, Blind, and Disabled (MAABD)

Page 5: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

Pending Applications

(Monthly Averages)

Pending <= 45

Days

Pending > 45

Days

Total

Applications

Pending <= 45

Days

Pending 46-90

Days

Pending > 90

Days

Total

Applications

Jul-16 483 3,184 22 3,206 934 95 83 1,113 4,802

Aug-16 462 2,956 18 2,973 913 99 67 1,078 4,514

Sep-16 353 3,245 17 3,262 960 104 65 1,129 4,743

Oct-16 352 2,877 21 2,897 908 92 61 1,061 4,309

Nov-16 752 4,555 24 4,580 1,007 95 60 1,162 6,493

Dec-16 797 6,850 28 6,878 1,136 92 67 1,296 8,971

Jan-17 816 6,433 43 6,476 1,002 105 64 1,171 8,463

Feb-17 666 5,604 37 5,641 1,052 78 54 1,184 7,491

Mar-17 221 3,132 30 3,162 876 69 44 989 4,372

Apr-17 274 2,729 21 2,751 794 54 34 883 3,907

May-17 334 2,900 21 2,920 828 61 35 924 4,178

Jun-17 317 3,069 41 3,109 849 69 37 955 4,382

Jul-17 280 3,013 49 3,062 865 81 44 990 4,333

Aug-17 383 3,203 46 3,249 942 64 53 1,059 4,690

Sep-17 410 3,304 67 3,372 908 77 54 1,038 4,819

Oct-17 417 2,967 75 3,042 939 91 51 1,080 4,539

Nov-17 2,655 5,516 39 5,555 1,211 105 48 1,365 9,575

Dec-17 3,474 8,189 61 8,250 1,419 96 51 1,566 13,290

Jan-18 712 6,027 75 6,102 1,215 108 50 1,374 8,188

Feb-18 477 3,422 44 3,466 1,020 85 44 1,149 5,093

Mar-18 300 2,926 35 2,962 999 86 47 1,132 4,394

Apr-18 269 2,803 26 2,829 985 88 48 1,122 4,219

May-18 291 2,724 22 2,746 981 95 55 1,131 4,168

Jun-18

Fiscal Year Averages

Pending <= 45

Days

Pending > 45

Days

Total

Applications

Pending <= 45

Days

Pending 46-90

Days

Pending > 90

Days

Total

Applications

FY14 13,681 7,925 8,462 16,387 2,094 1,197 5,355 8,646 35,324

FY15 3,376 6,810 3,357 10,167 1,369 498 1,129 2,997 16,405

FY16 797 4,150 28 4,178 974 162 271 1,407 6,382

FY17 486 3,961 27 3,988 938 84 56 1,079 5,552

FY18 YTD 879 4,009 49 4,058 1,044 89 50 1,182 6,119

Note: Beginning 4/3/15, the unregistered applications data includes all applications submitted electronically and not just FMC and MAABD.

Fiscal Year

Family Medical (FMC) Aged, Blind, and Disabled (MAABD) Total Medicaid

Pending

Applications

Unregistered

Applications

Unregistered

Applications

Family Medical (FMC) Aged, Blind, and Disabled (MAABD) Total Medicaid

Pending

Applications

Month

DHHS Director's Office 5 of 30 6/14/2018

Page 6: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

842

901 920 908

990

1,115

1,037

1,169

988

872 850

870 880

931 919 894

1,029

1,283

1,332

1,028

898 910

878

0

200

400

600

800

1,000

1,200

1,400

Jul-

16

Au

g-1

6

Sep

-16

Oct

-16

No

v-1

6

De

c-1

6

Jan

-17

Feb

-17

Mar

-17

Ap

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7

May

-17

Jun

-17

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17

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g-1

7

Sep

-17

Oct

-17

No

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7

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c-1

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Jan

-18

Feb

-18

Mar

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8

May

-18

Jun

-18

Dai

ly A

vera

ge o

f A

pp

licat

ion

s P

roce

sse

dMedicaid Applications Processed per Working Day

Page 7: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

Pending Applications Processed per Day

Fiscal Year Averages

Month

Medicaid

Applications

Processed per

Working Day

Fiscal Year

Medicaid

Applications

Processed per

Working Day

Jul-16 842 FY14 942

Aug-16 901 FY15 870

Sep-16 920 FY16 967

Oct-16 908 FY17 955

Nov-16 990 FY18 YTD 998

Dec-16 1,115

Jan-17 1,037

Feb-17 1,169

Mar-17 988

Apr-17 872

May-17 850

Jun-17 870

Jul-17 880

Aug-17 931

Sep-17 919

Oct-17 894

Nov-17 1,029

Dec-17 1,283

Jan-18 1,332

Feb-18 1,028

Mar-18 898

Apr-18 910

May-18 878

Jun-18

942 870 967 955 998

0

200

400

600

800

1,000

1,200

FY14 FY15 FY16 FY17 FY18 YTD

Dai

ly A

vera

ge o

f A

pp

licat

ion

s P

roce

sse

d

Medicaid Applications Processed per Working Day

DHHS Director's Office 7 of 30 6/14/2018

Page 8: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

60

% 64

%

62

% 65

%

59

%

49

%

49

%

48

%

65

% 68

%

65

%

64

%

63

%

65

%

62

% 66

%

55

%

42

%

43

%

61

% 66

%

67

%

67

%

13

% 11

%

13

% 11

%

14

%

14

%

12

%

15

%

11

% 9%

11

%

12

%

12

% 11

%

13

% 10

%

14

%

14

%

9%

11

%

10

%

10

%

10

%

9% 9

%

8% 9

%

9%

10

%

10

%

11

%

9% 9

%

9%

6% 8% 8

%

8% 9

%

11

%

10

%

8%

9%

9% 9% 9%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Jul-

16

Au

g-1

6

Sep

-16

Oct

-16

No

v-1

6

De

c-1

6

Jan

-17

Feb

-17

Mar

-17

Ap

r-1

7

May

-17

Jun

-17

Jul-

17

Au

g-1

7

Sep

-17

Oct

-17

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7

De

c-1

7

Jan

-18

Feb

-18

Mar

-18

Ap

r-1

8

May

-18

Jun

-18

Pe

rce

nt

of

Ap

plic

atio

ns

Applications Processed within 15 Days

Percent of Applications Processed within 5 Days Percent of Applications Processed in 6 - 10 Days Percent of Applications Processed in 11 - 15 Days

Page 9: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

Applications Processed within 15 Days

Month

Applications

Processed within 5

Days

Percent of

Applications

Processed within 5

Days

Applications

Processed in 6 - 10

Days

Percent of

Applications

Processed in 6 - 10

Days

Applications

Processed in 11 - 15

Days

Percent of

Applications

Processed in 11 - 15

Days

Applications

Processed within

15 Days

Total Applications

Processed

Percent of

Applications

Processed within

15 Days

Jul-16 10,137 60% 2,220 13% 1,470 9% 13,827 16,838 82%

Aug-16 13,313 64% 2,349 11% 1,761 9% 17,423 20,715 84%

Sep-16 11,873 62% 2,562 13% 1,572 8% 16,007 19,319 83%

Oct-16 11,838 65% 1,925 11% 1,579 9% 15,342 18,162 84%

Nov-16 11,164 59% 2,590 14% 1,771 9% 15,525 18,819 82%

Dec-16 11,488 49% 3,241 14% 2,401 10% 17,130 23,379 73%

Jan-17 11,960 49% 3,016 12% 2,479 10% 17,455 24,268 72%

Feb-17 10,580 48% 3,309 15% 2,384 11% 16,273 22,212 73%

Mar-17 12,781 65% 2,108 11% 1,706 9% 16,595 19,745 84%

Apr-17 11,790 68% 1,639 9% 1,534 9% 14,963 17,436 86%

May-17 12,188 65% 2,124 11% 1,710 9% 16,022 18,689 86%

Jun-17 12,161 64% 2,301 12% 1,628 6% 16,090 19,147 84%

Jul-17 11,055 63% 2,065 12% 1,407 8% 14,527 17,594 83%

Aug-17 13,970 65% 2,438 11% 1,800 8% 18,208 21,403 85%

Sep-17 11,351 62% 2,386 13% 1,474 8% 15,211 18,376 83%

Oct-17 12,397 66% 1,849 10% 1,644 9% 15,890 18,765 85%

Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

Dec-17 10,728 42% 3,615 14% 2,498 10% 16,841 25,651 66%

Jan-18 12,064 43% 2,565 9% 2,226 8% 16,855 27,969 60%

Feb-18 11,850 61% 2,068 11% 1,762 9% 15,680 19,523 80%

Mar-18 13,085 66% 2,053 10% 1,804 9% 16,942 19,757 86%

Apr-18 12,796 67% 1,851 10% 1,765 9% 16,412 19,104 86%

May-18 12,992 67% 1,912 10% 1,809 9% 16,713 19,306 87%

Jun-18

Percent of Applications Processed within 15 Days - Fiscal Year Averages

Fiscal Year % within 15 Days

FY14 36%

FY15 59%

FY16 76%

FY17 81%

FY18 YTD 80%

Note: This data reflects Family Medical (FMC), Newly Eligible Adults, Aged, Blind and Disabled (MAABD), and Nevada Check Up applications.

36%

59%

76% 81% 80%

0%

20%

40%

60%

80%

100%

FY14 FY15 FY16 FY17 FY18 YTD

Rat

e o

f A

pp

licat

ion

s P

roce

sse

d w

ith

15

Day

s

Percent of Applications Processed within 15 Days

DHHS Director's Office 9 of 30 6/14/2018

Page 10: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

10 99 9

46

11

12 129 9

89 9

89 8

1114 15

109 9 8

8 7 7 7

57

1011 10

8 7 7 7 7 7 7 79

1314

8 8 7 6

60

75

45

40

94

38

63

4341

37

38

34

40

38

41

50

56

49

44

3534

4744

1615

12 12 13 13

1816

15 15

11

1513

1113 14 14

16 17

1311

1512

0

10

20

30

40

50

60

70

80

90

100

Jul-

16

Au

g-1

6

Sep

-16

Oct

-16

No

v-1

6

De

c-1

6

Jan

-17

Feb

-17

Mar

-17

Ap

r-1

7

May

-17

Jun

-17

Jul-

17

Au

g-1

7

Sep

-17

Oct

-17

No

v-1

7

De

c-1

7

Jan

-18

Feb

-18

Mar

-18

Ap

r-1

8

May

-18

Jun

-18

Nu

mb

er o

f D

ays

Average Processing Time (Days)

Page 11: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

Average Processing Time (Days)

Fiscal Year Averages

Month

Total

Medicaid with

Check Up

FMCMAABD

Institutional

MAABD Non-

InstitutionalFiscal Year

Total

Medicaid with

Check Up

FMCMAABD

Institutional

MAABD Non-

Institutional

Jul-16 10 8 60 16 FY14 54

Aug-16 9 7 75 15 FY15 34 22 69 45

Sep-16 9 7 45 12 FY16 14 10 63 30

Oct-16 9 7 40 12 FY17 13 12 51 14

Nov-16 46 57 94 13 FY18 YTD 10 8 43 13

Dec-16 11 10 38 13

Jan-17 12 11 63 18

Feb-17 12 10 43 16

Mar-17 9 8 41 15

Apr-17 9 7 37 15

May-17 8 7 38 11

Jun-17 9 7 34 15

Jul-17 9 7 40 13

Aug-17 8 7 38 11

Sep-17 9 7 41 13

Oct-17 8 7 50 14

Nov-17 11 9 56 14

Dec-17 14 13 49 16

Jan-18 15 14 44 17

Feb-18 10 8 35 13

Mar-18 9 8 34 11

Apr-18 9 7 47 15

May-18 8 6 44 12

Jun-18

Note: Processing times are higher in November 2016 due to a technical error.

54

34

14 1310

0

10

20

30

40

50

60

FY14 FY15 FY16 FY17 FY18 YTDD

ays

Total Medicaid with Check Up Average Processing Time

DHHS Director's Office 11 of 30 6/14/2018

Page 12: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

687,731683,783684,352

500,000

550,000

600,000

650,000

700,000

750,000

500,000

550,000

600,000

650,000

700,000

750,000

Total Medicaid Recipients

Total Medicaid Recipients Leg. Approved June 2018 Projection Agency Request

Page 13: Medicaid Chart Pack - dhhs.nv.govdhhs.nv.gov/.../dhhsnvgov/content/Reports/MedicaidChartPack.pdfMedicaid Chart Pack ... Nov-17 10,782 55% 2,663 14% 2,050 11% 15,495 19,544 79%

Total Medicaid Recipients

FY18 & FY19 Biennium Fiscal Year Averages

Month

Total

Medicaid

Recipients

Month

Total

Medicaid

Recipients

Leg.

Approved

Agency

Request

June 2018

ProjectionMonth Agency Request

June 2018

ProjectionFiscal Year

Total Medicaid

RecipientsPercent Change

Jul-15 582,531 Jul-17 648,513 656,163 Jul-19 671,408 669,920 FY10 231,923

Aug-15 586,654 Aug-17 651,526 660,148 Aug-19 673,863 672,390 FY11 272,271 17.4%

Sep-15 594,359 Sep-17 650,002 661,255 Sep-19 673,225 671,841 FY12 289,940 6.5%

Oct-15 599,701 Oct-17 652,613 663,747 Oct-19 675,670 674,287 FY13 299,548 3.3%

Nov-15 602,421 Nov-17 651,756 663,722 Nov-19 675,231 673,817 FY14 374,020 24.9%

Dec-15 608,812 Dec-17 653,456 664,345 Dec-19 675,649 674,282 FY15 558,713 49.4%

Jan-16 614,216 Jan-18 657,620 664,076 Jan-20 675,137 673,783 FY16 608,237 8.9%

Feb-16 620,541 Feb-18 657,515 664,436 Feb-20 674,865 673,688 FY17 637,796 4.9%

Mar-16 623,109 Mar-18 657,751 666,637 Mar-20 675,914 674,831 FY18 YTD 654,534 2.6%

Apr-16 621,250 Apr-18 659,505 667,258 659,500 Apr-20 676,299 675,368

May-16 622,259 May-18 659,618 669,834 660,977 659,618 May-20 677,870 676,914

Jun-16 622,986 Jun-18 671,362 661,657 660,343 Jun-20 677,819 676,925

Jul-16 623,002 Jul-18 673,606 663,103 661,877 Jul-20 679,014 678,286

Aug-16 627,802 Aug-18 677,370 665,488 664,310 Aug-20 681,295 680,623

Sep-16 629,956 Sep-18 677,385 664,766 663,618 Sep-20 680,492 679,828

Oct-16 633,535 Oct-18 680,535 667,651 666,455 Oct-20 682,781 682,148

Nov-16 634,037 Nov-18 680,603 667,408 665,983 Nov-20 682,147 681,453

Dec-16 637,501 Dec-18 681,627 667,497 665,913 Dec-20 682,504 681,836

Jan-17 642,028 Jan-19 681,422 666,513 664,741 Jan-21 681,966 681,248

Feb-17 643,194 Feb-19 681,965 666,272 664,482 Feb-21 681,723 681,089

Mar-17 645,963 Mar-19 683,378 667,486 665,770 Mar-21 682,854 682,142

Apr-17 644,535 Apr-19 684,779 668,252 666,644 Apr-21 683,127 682,507

May-17 645,540 May-19 687,226 670,034 668,364 May-21 684,525 683,933

Jun-17 646,464 Jun-19 687,731 670,040 668,430 Jun-21 684,352 683,783

FY16 & FY17 Biennium FY20 & FY21 Biennium

23

1,9

23

27

2,2

71

28

9,9

40

29

9,5

48

37

4,0

20

55

8,7

13

60

8,2

37

63

7,7

96

65

4,5

34

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 YTD

Nu

mb

er

of

Clie

nts

Total Medicaid Recipients

DHHS Director's Office 13 of 30 6/14/2018

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0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

800,000

Medicaid Caseloads by Category

Moms and Kids Aged, Blind, and Disabled Newly Eligible Parent-Caretakers Childless Adults Other

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Medicaid Caseloads

Caseload by Month Month over Month Change in Caseload

MonthMoms and

Kids

Aged, Blind,

and

Disabled

Newly

Eligible

Parent-

Caretakers

Childless

AdultsOther Total Month

Moms and

Kids

Aged, Blind,

and

Disabled

Newly

Eligible

Parent-

Caretakers

Childless

AdultsOther Total

Jul-15 291,099 83,257 55,059 126,879 26,176 582,470 Jul-15 4,082 265 639 710 354 6,050

Aug-15 293,055 83,555 55,654 127,784 26,553 586,601 Aug-15 1,956 298 595 905 377 4,131

Sep-15 296,649 83,977 56,697 130,095 26,888 594,306 Sep-15 3,594 422 1,043 2,311 335 7,705

Oct-15 298,503 84,523 57,336 131,980 27,308 599,650 Oct-15 1,854 546 639 1,885 420 5,344

Nov-15 298,363 84,610 57,757 134,198 27,442 602,370 Nov-15 (140) 87 421 2,218 134 2,720

Dec-15 299,645 85,227 58,416 137,715 27,742 608,745 Dec-15 1,282 617 659 3,517 300 6,375

Jan-16 300,374 85,728 59,057 140,180 28,819 614,158 Jan-16 729 501 641 2,465 1,077 5,413

Feb-16 302,078 86,430 59,618 143,357 29,008 620,491 Feb-16 1,704 702 561 3,177 189 6,333

Mar-16 303,352 87,368 59,960 143,635 28,764 623,079 Mar-16 1,274 938 342 278 (244) 2,588

Apr-16 302,604 87,976 59,766 142,348 28,493 621,187 Apr-16 (748) 608 (194) (1,287) (271) (1,892)

May-16 303,235 88,510 59,971 141,952 28,523 622,191 May-16 631 534 205 (396) 30 1,004

Jun-16 304,307 88,660 60,114 141,128 28,731 622,940 Jun-16 1,072 150 143 (824) 208 749

Jul-16 304,854 89,171 59,624 140,605 28,748 623,002 Jul-16 547 511 (490) (523) 17 62

Aug-16 307,355 89,618 59,977 141,733 29,119 627,802 Aug-16 2,501 447 353 1,128 371 4,800

Sep-16 307,576 90,220 60,195 142,586 29,379 629,956 Sep-16 221 602 218 853 260 2,154

Oct-16 308,402 90,890 60,691 143,784 29,768 633,535 Oct-16 826 670 496 1,198 389 3,579

Nov-16 307,610 91,296 60,866 144,188 29,877 633,837 Nov-16 (792) 406 175 404 109 302

Dec-16 308,148 91,620 61,370 146,230 30,133 637,501 Dec-16 538 324 504 2,042 256 3,664

Jan-17 309,403 92,287 61,645 148,278 30,415 642,028 Jan-17 1,255 667 275 2,048 282 4,527

Feb-17 309,885 92,591 61,523 148,736 30,459 643,194 Feb-17 482 304 (122) 458 44 1,166

Mar-17 311,134 93,154 61,513 149,455 30,707 645,963 Mar-17 1,249 563 (10) 719 248 2,769

Apr-17 310,542 92,966 61,532 148,888 30,607 644,535 Apr-17 (592) (188) 19 (567) (100) (1,428)

May-17 310,817 93,536 61,503 149,103 30,581 645,540 May-17 275 570 (29) 215 (26) 1,005

Jun-17 311,588 93,746 61,382 149,100 30,648 646,464 Jun-17 771 210 (121) (3) 67 924

Jul-17 313,032 94,195 61,351 149,239 30,696 648,513 Jul-17 1,444 449 (31) 139 48 2,049

Aug-17 314,985 94,699 61,331 149,916 30,595 651,526 Aug-17 1,953 504 (20) 677 (101) 3,013

Sep-17 314,495 93,779 61,210 149,760 30,758 650,002 Sep-17 (490) (920) (121) (156) 163 (1,524)

Oct-17 315,182 95,304 61,261 150,090 30,760 652,597 Oct-17 687 1,525 51 330 2 2,595

Nov-17 313,693 95,412 61,439 150,192 31,020 651,756 Nov-17 (1,489) 108 178 102 260 (841)

Dec-17 313,496 95,799 61,345 151,617 31,199 653,456 Dec-17 (197) 387 (94) 1,425 179 1,700

Jan-18 315,037 96,301 61,694 153,100 31,488 657,620 Jan-18 1,541 502 349 1,483 289 4,164

Feb-18 315,420 96,584 61,384 152,701 31,426 657,515 Feb-18 383 283 (310) (399) (62) (105)

Mar-18 315,682 96,850 61,263 152,506 31,450 657,751 Mar-18 262 266 (121) (195) 24 236

Apr-18 316,832 97,029 61,573 152,784 31,287 659,505 Apr-18 1,150 179 310 278 (163) 1,754

May-18 316,715 97,137 61,757 152,976 31,033 659,618 May-18 (117) 108 184 192 (254) 113

Jun-18 Jun-18

Fiscal Year Average Caseload

Fiscal YearMoms and

Kids

Aged, Blind,

and

Disabled

Newly

Eligible

Parent-

Caretakers

Childless

AdultsOther Total

FY13 218,262 67,854 0 0 13,312 299,428

FY14 247,913 72,442 11,353 25,852 16,470 374,031

FY15 291,013 79,931 47,528 116,729 23,526 558,726

FY16 299,439 85,818 58,284 136,771 27,871 608,182

FY17 308,943 91,758 60,985 146,057 30,036 637,779

FY18 YTD 314,961 95,735 61,419 151,353 31,065 654,533

Note: Other includes Child Welfare, County Match, Waivers, CHIP to Medicaid, and other minor

caseloads.

DHHS Director's Office 15 of 30 6/14/2018

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62

3,0

40

62

7,8

42

63

0,0

91

63

3,5

35

63

3,8

37

63

7,5

01

64

2,0

28

64

3,1

94

64

5,9

63

64

4,5

35

64

5,5

40

64

6,4

64

64

8,5

13

65

1,5

26

65

0,0

02

65

2,6

13

65

1,7

56

65

3,4

56

65

7,6

20

65

7,5

15

65

7,7

51

65

9,5

05

11

,76

1

14

,76

9

12

,37

8

11

,24

3

14

,32

7

11

,58

2

15

,54

5

12

,02

5

10

,55

6

10

,49

5

12

,03

2

10

,35

0

11

,56

9

15

,23

3

10

,88

9

12

,04

4

16

,17

4

12

,69

0

15

,32

7

12

,30

5

8,9

18

9,0

79

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

800,000

Total Medicaid - Initial and Retroactive Caseload Counts

Initial Caseload Count Retro.

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Total Medicaid - Initial and Retroactive Caseload Counts

Initial

Caseload

Count

Retro.

Caseload

with

Retro.

%

Retro.

Initial

Caseload

Count

Retro.

Caseload

with

Retro.

%

Retro

Initial

Caseload

Count

Retro.

Caseload

with

Retro.

%

Retro

Initial

Caseload

Count

Retro.

Caseload

with

Retro.

%

Retro

Initial

Caseload

Count

Retro.

Caseload

with

Retro.

%

Retro

Jul-16 517,610 10,561 528,171 2.0% 12,473 229 12,702 1.8% 40,831 333 41,164 0.8% 95,194 1,111 96,305 1.2% 623,040 11,761 634,801 1.9%

Aug-16 521,356 13,374 534,730 2.6% 12,618 229 12,847 1.8% 40,852 440 41,292 1.1% 95,688 1,278 96,966 1.3% 627,842 14,769 642,611 2.4%

Sep-16 522,819 11,252 534,071 2.2% 12,645 190 12,835 1.5% 41,085 332 41,417 0.8% 96,306 1,013 97,319 1.1% 630,091 12,378 642,469 2.0%

Oct-16 525,674 10,025 535,699 1.9% 12,682 196 12,878 1.5% 41,292 345 41,637 0.8% 97,092 1,104 98,196 1.1% 633,535 11,243 644,778 1.8%

Nov-16 525,596 13,196 538,792 2.5% 12,692 144 12,836 1.1% 41,471 369 41,840 0.9% 97,365 1,024 98,389 1.1% 633,837 14,327 648,164 2.3%

Dec-16 528,849 10,722 539,571 2.0% 12,648 136 12,784 1.1% 41,606 259 41,865 0.6% 97,921 745 98,666 0.8% 637,501 11,582 649,083 1.8%

Jan-17 532,720 14,415 547,135 2.7% 12,701 224 12,925 1.8% 41,822 346 42,168 0.8% 98,424 1,018 99,442 1.0% 642,028 15,545 657,573 2.4%

Feb-17 533,538 11,003 544,541 2.1% 12,728 144 12,872 1.1% 41,922 311 42,233 0.7% 98,711 900 99,611 0.9% 643,194 12,025 655,219 1.9%

Mar-17 535,617 9,508 545,125 1.8% 12,722 167 12,889 1.3% 42,126 314 42,440 0.7% 99,364 954 100,318 1.0% 645,963 10,556 656,519 1.6%

Apr-17 534,449 9,381 543,830 1.8% 12,794 132 12,926 1.0% 41,882 276 42,158 0.7% 99,200 1,005 100,205 1.0% 644,535 10,495 655,030 1.6%

May-17 534,800 11,074 545,874 2.1% 12,846 126 12,972 1.0% 41,974 312 42,286 0.7% 99,826 868 100,694 0.9% 645,540 12,032 657,572 1.9%

Jun-17 535,449 9,367 544,816 1.7% 12,834 139 12,973 1.1% 41,882 310 42,192 0.7% 100,021 882 100,903 0.9% 646,464 10,350 656,814 1.6%

Jul-17 537,079 10,461 547,540 1.9% 12,834 140 12,974 1.1% 41,969 359 42,328 0.9% 100,584 1,003 101,587 1.0% 648,513 11,569 660,082 1.8%

Aug-17 539,698 14,009 553,707 2.6% 12,893 132 13,025 1.0% 42,177 439 42,616 1.0% 101,116 1,093 102,209 1.1% 651,526 15,233 666,759 2.3%

Sep-17 538,976 9,773 548,749 1.8% 12,674 160 12,834 1.3% 41,364 327 41,691 0.8% 100,124 985 101,109 1.0% 650,002 10,889 660,891 1.7%

Oct-17 540,063 10,483 550,546 1.9% 12,966 255 13,221 2.0% 42,260 568 42,828 1.3% 101,672 1,435 103,107 1.4% 652,613 12,044 664,657 1.8%

Nov-17 538,882 14,959 553,841 2.8% 12,972 165 13,137 1.3% 42,221 369 42,590 0.9% 101,787 1,112 102,899 1.1% 651,756 16,174 667,930 2.5%

Dec-17 540,244 11,652 551,896 2.2% 13,066 149 13,215 1.1% 42,252 298 42,550 0.7% 102,164 923 103,087 0.9% 653,456 12,690 666,146 1.9%

Jan-18 543,745 14,099 557,844 2.6% 13,128 156 13,284 1.2% 42,322 390 42,712 0.9% 102,652 1,080 103,732 1.1% 657,620 15,327 672,947 2.3%

Feb-18 543,323 11,338 554,661 2.1% 13,159 86 13,245 0.7% 42,297 328 42,625 0.8% 103,000 853 103,853 0.8% 657,515 12,305 669,820 1.9%

Mar-18 543,242 8,106 551,348 1.5% 13,225 109 13,334 0.8% 42,370 248 42,618 0.6% 103,256 704 103,960 0.7% 657,751 8,918 666,669 1.4%

Apr-18 544,962 8,440 553,402 1.5% 13,220 56 13,276 0.4% 42,429 217 42,646 0.5% 103,481 539 104,020 0.5% 659,505 9,079 668,584 1.4%

May-18 544,915 13,275 42,361 103,568 659,618

Jun-18

Jul-18

Fiscal Year Averages

Initial

Caseload

Count

Retro.

Caseload

with

Retro.

%

Retro.

Initial

Caseload

Count

Retro.

Caseload

with

Retro.

%

Retro

Initial

Caseload

Count

Retro.

Caseload

with

Retro.

%

Retro

Initial

Caseload

Count

Retro.

Caseload

with

Retro.

%

Retro

Initial

Caseload

Count

Retro.

Caseload

with

Retro.

%

Retro

FY14 287,197 33,884 321,081 11.1% 10,974 298 11,272 2.7% 34,629 1,380 36,009 4.0% 77,858 2,402 80,260 3.1% 374,043 36,454 410,497 9.3%

FY15 463,507 20,609 484,116 4.5% 11,623 243 11,866 2.1% 37,622 537 38,159 1.4% 85,646 1,523 87,169 1.8% 558,774 22,319 581,092 4.0%

FY16 505,872 12,322 518,194 2.4% 12,181 173 12,355 1.4% 39,686 352 40,037 0.9% 91,761 1,159 92,920 1.3% 608,237 13,600 621,837 2.2%

FY17 529,040 11,156 540,196 2.1% 12,699 171 12,870 1.4% 41,562 329 41,891 0.8% 97,926 992 98,918 1.0% 637,798 12,255 650,053 1.9%

Fiscal

Year

FMC Aged Blind and Disabled Total MAABD Total Medicaid

FMC Aged Blind and Disabled Total MAABD Total Medicaid

DHHS Director's Office 17 of 30 6/14/2018

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90%

87%

90%

89%

85%

89%

91%

84%

89%

91%

85%

89% 89%

89%

89%

87%

85%

89% 90%

88%87%

88%

86%

61% 61% 61% 61% 61%

58%

61% 61% 61% 61% 61% 61% 61% 61% 61%60% 61% 61% 61% 61% 61% 61% 61%

83% 83% 83% 83%

84%

83%82%

83%

83% 83%

84%

83%83%

84% 84% 83% 83% 83% 83% 83% 84% 83% 84%

71% 71% 72% 72% 72%

69%

71% 71% 71% 72% 72% 72%71% 72% 72%

71% 71% 72% 72% 72% 72% 71% 72%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jul-

16

Au

g-1

6

Sep

-16

Oct

-16

No

v-1

6

De

c-1

6

Jan

-17

Feb

-17

Mar

-17

Ap

r-1

7

May

-17

Jun

-17

Jul-

17

Au

g-1

7

Sep

-17

Oct

-17

No

v-1

7

De

c-1

7

Jan

-18

Feb

-18

Mar

-18

Ap

r-1

8

May

-18

Jun

-18

Pe

rce

nt

of

Clie

nts

in M

anag

ed C

are

Percent in Managed Care by Client Type

Nevada Check Up Traditional Medicaid Newly Eligible Adults Total Medicaid with Check Up

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Percent of Medicaid Clients in Managed Care

Managed

Care

Enrollment

Total

Caseload

% in

Managed

Care

Managed

Care

Enrollment

Total

Caseload

net of SLMB

% in

Managed

Care

Managed

Care

Enrollment

Total

Caseload

% in

Managed

Care

Managed

Care

Enrollment

Total

Caseload

net of SLMB

% in

Managed

Care

Jul-16 21,825 24,315 90% 263,202 431,653 61% 165,885 200,583 83% 450,912 632,236 71%

Aug-16 21,572 24,801 87% 265,827 435,243 61% 168,266 202,122 83% 455,665 637,365 71%

Sep-16 22,332 24,741 90% 266,694 436,233 61% 169,373 203,163 83% 458,399 639,396 72%

Oct-16 22,812 25,558 89% 266,940 438,785 61% 170,471 204,878 83% 460,223 643,663 72%

Nov-16 22,105 26,036 85% 268,465 438,999 61% 171,552 205,406 84% 462,122 644,405 72%

Dec-16 22,565 25,492 89% 254,507 439,461 58% 172,528 207,966 83% 449,600 647,427 69%

Jan-17 23,474 25,896 91% 268,400 441,908 61% 172,358 210,296 82% 464,232 652,204 71%

Feb-17 22,310 26,551 84% 268,807 443,300 61% 174,164 210,670 83% 465,281 653,970 71%

Mar-17 22,829 25,795 89% 270,207 444,413 61% 175,639 211,414 83% 468,675 655,827 71%

Apr-17 23,681 26,050 91% 269,956 443,888 61% 175,495 210,861 83% 469,132 654,749 72%

May-17 22,844 26,989 85% 272,566 445,548 61% 176,373 211,053 84% 471,783 656,601 72%

Jun-17 23,202 26,165 89% 272,394 445,722 61% 176,119 210,960 83% 471,715 656,682 72%

Jul-17 23,375 26,369 89% 271,098 447,823 61% 175,004 211,060 83% 469,477 658,883 71%

Aug-17 23,581 26,604 89% 273,685 450,312 61% 176,921 211,736 84% 474,187 662,048 72%

Sep-17 24,067 26,935 89% 273,748 449,444 61% 176,858 211,428 84% 474,673 660,872 72%

Oct-17 24,008 27,515 87% 272,130 452,179 60% 176,515 211,805 83% 472,653 663,984 71%

Nov-17 23,338 27,372 85% 273,716 450,947 61% 176,442 212,028 83% 473,496 662,975 71%

Dec-17 23,950 26,842 89% 273,938 450,648 61% 177,263 213,384 83% 475,151 664,032 72%

Jan-18 24,531 27,314 90% 275,856 453,285 61% 179,385 215,236 83% 479,772 668,521 72%

Feb-18 24,452 27,825 88% 275,591 454,337 61% 178,985 214,570 83% 479,028 668,907 72%

Mar-18 24,289 27,893 87% 276,151 454,917 61% 179,117 214,266 84% 479,557 669,183 72%

Apr-18 24,435 27,713 88% 276,052 455,809 61% 178,554 214,869 83% 479,041 670,678 71%

May-18 23,861 27,813 86% 277,963 455,671 61% 179,883 215,101 84% 481,707 670,772 72%Jun-18

Fiscal Year Averages

FY14 243,142 63%

FY15 395,743 70%

FY16 437,740 70%

FY17 462,312 71%

FY18 YTD 476,249

Total Medicaid with Check Up

Month

Managed

Care

Enrollment

% in

Managed

Care

Note: Traditional Medicaid totals include both cat 11 (CHIP Expansion), and cat 12 (TANF/CHAP) populations.

Nevada Check Up Traditional Medicaid Newly Eligible Adults

63%70% 70% 71%

0%

20%

40%

60%

80%

FY14 FY15 FY16 FY17 FY18 YTD

Total Medicaid with Check Up - % in Managed Care

DHHS Director's Office 19 of 30 6/14/2018

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Managed Care by Client Type

61%

35%

5%

Amerigroup

Traditional Medicaid Newly Eligible Adults Nevada Check Up

57%

38%

5%

Nevada Health Plan

Traditional Medicaid Newly Eligible Adults Nevada Check Up

47%

49%

4%

Silver Summit

Traditional Medicaid Newly Eligible Adults Nevada Check Up

58%

37%

5%

Managed Care by Client Type - Totals

Traditional Medicaid Newly Eligible Adults Nevada Check Up

DHHS Director's Office 20 of 30 6/14/2018

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Managed Care Providers

Month

Traditional

Medicaid

% of

Traditional

Medicaid

Newly

Eligible

Adults

% of Newly

Eligible

Nevada

Check Up

% of

Nevada

Check Up

Total for

Plan% of Total

Traditional

Medicaid

% of

Traditional

Medicaid

Newly

Eligible

Adults

% of Newly

Eligible

Nevada

Check Up

% of

Nevada

Check Up

Total for

Plan% of Total

Jul-16 114,442 43% 65,605 40% 8,465 39% 188,512 42% 148,760 57% 100,280 60% 13,360 61% 262,400 58% 450,912

Aug-16 115,824 44% 66,527 40% 8,318 39% 190,669 42% 150,003 56% 101,739 60% 13,254 61% 264,996 58% 455,665

Sep-16 114,255 43% 65,991 39% 8,425 38% 188,671 41% 152,439 57% 103,382 61% 13,907 62% 269,728 59% 458,399

Oct-16 114,359 43% 66,291 39% 8,679 38% 189,329 41% 152,581 57% 104,180 61% 14,133 62% 270,894 59% 460,223

Nov-16 114,887 43% 66,667 39% 8,421 38% 189,975 41% 153,578 57% 104,885 61% 13,684 62% 272,147 59% 462,122

Dec-16 114,881 45% 67,000 39% 8,574 38% 190,455 42% 139,626 55% 105,528 61% 13,991 62% 259,145 58% 449,600

Jan-17 114,723 43% 67,171 39% 8,917 38% 190,811 41% 153,677 57% 105,187 61% 14,557 62% 273,421 59% 464,232

Feb-17 114,921 43% 67,961 39% 8,479 38% 191,361 41% 153,886 57% 106,203 61% 13,831 62% 273,920 59% 465,281

Mar-17 115,275 43% 68,420 39% 8,773 38% 192,468 41% 154,932 57% 107,219 61% 14,056 62% 276,207 59% 468,675

Apr-17 115,094 43% 68,370 39% 9,163 38% 192,627 41% 154,862 57% 107,125 61% 14,518 62% 276,505 59% 469,132

May-17 116,511 43% 68,632 39% 8,799 39% 193,942 41% 156,055 57% 107,741 61% 14,045 61% 277,841 59% 471,783

Jun-17 115,164 43% 67,586 39% 8,791 39% 191,541 41% 156,073 57% 107,381 61% 14,270 61% 277,724 59% 471,715

Jul-17 113,592 42% 66,248 38% 8,858 38% 188,698 41% 154,678 57% 105,971 61% 14,258 62% 274,907 59% 469,477

Aug-17 112,905 42% 65,821 38% 8,844 38% 187,570 40% 155,089 57% 105,810 61% 14,337 61% 275,236 59% 474,187

Sep-17 111,249 41% 64,672 37% 8,932 38% 184,853 40% 154,443 57% 104,698 60% 14,533 61% 273,674 58% 474,673

Oct-17 109,094 41% 63,422 37% 8,739 37% 181,255 39% 152,097 56% 103,233 59% 14,390 60% 269,720 58% 472,653

Nov-17 108,354 40% 62,040 36% 8,250 36% 178,644 38% 151,418 56% 101,623 58% 13,889 60% 266,930 57% 473,496

Dec-17 107,376 40% 60,953 35% 8,312 35% 176,641 38% 150,716 55% 100,444 58% 14,168 60% 265,328 56% 475,151

Jan-18 106,979 39% 60,277 34% 8,464 35% 175,720 37% 150,836 55% 99,870 57% 14,298 59% 265,004 56% 479,772

Feb-18 106,008 39% 59,139 34% 8,414 35% 173,561 37% 150,030 55% 98,782 56% 14,178 58% 262,990 55% 479,028

Mar-18 105,352 38% 58,666 33% 8,394 35% 172,412 36% 149,617 54% 97,834 55% 13,992 58% 261,443 55% 479,557

Apr-18 104,847 38% 57,914 32% 8,355 34% 171,116 36% 148,539 54% 96,400 54% 14,006 57% 258,945 54% 479,041

May-18 104,899 38% 57,883 32% 8,186 34% 170,968 35% 148,936 54% 95,954 53% 13,710 57% 258,600 54% 481,707

Jun-18

Note:

Fiscal Year Averages

Fiscal YearTraditional

Medicaid

% of

Traditional

Medicaid

Newly

Eligible

Adults

% of Newly

Eligible

Nevada

Check Up

% of

Nevada

Check Up

Total for

Plan% of Total

Traditional

Medicaid

% of

Traditional

Medicaid

Newly

Eligible

Adults

% of Newly

Eligible

Nevada

Check Up

% of

Nevada

Check Up

Total for

Plan% of Total

FY14 110,819 45% 54,962 42% 7,744 39% 173,525 44% 133,741 55% 76,332 58% 12,146 61% 222,218 56%

FY15 112,119 44% 63,560 40% 7,655 39% 183,334 42% 143,176 56% 95,741 60% 12,020 61% 250,936 58%

FY16 114,584 44% 65,662 40% 8,222 39% 188,468 42% 148,317 56% 100,569 60% 13,030 61% 261,916 58%

FY17 115,016 43% 67,149 39% 8,638 38% 190,802 41% 151,854 57% 104,861 61% 13,940 62% 270,655 59%

FY18 YTD 108,241 40% 61,549 35% 8,523 36% 178,313 38% 151,491 55% 100,965 57% 14,160 59% 266,616 56%

Total

Managed

Care

Enrollment

Amerigroup

Amerigroup

Health Plan of Nevada

Health Plan of Nevada

DHHS Director's Office 21 of 30 6/14/2018

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Managed Care Providers - Continued

Traditional

Medicaid

% of

Traditional

Medicaid

Newly

Eligible

Adults

% of Newly

Eligible

Nevada

Check Up

% of

Nevada

Check Up

Total for

Plan% of Total

Traditional

Medicaid

% of

Traditional

Medicaid

Newly

Eligible

Adults

% of Newly

Eligible

Nevada

Check Up

% of

Nevada

Check Up

Total for

Plan% of Total

Jul-16 450,912

Aug-16 455,665

Sep-16 458,399

Oct-16 460,223

Nov-16 462,122

Dec-16 449,600

Jan-17 464,232

Feb-17 465,281

Mar-17 468,675

Apr-17 469,132

May-17 471,783

Jun-17 386 0.0% 405 0.0% 51 0.0% 3,334 0.0% 771 0.3% 747 0.4% 90 0.4% 1,608 0.3% 471,715

Jul-17 1,618 0.1% 1,547 0.2% 169 0.2% 3,334 0.2% 1,210 0.4% 1,238 0.7% 90 0.4% 2,538 0.5% 469,477

Aug-17 5,691 0.6% 5,290 0.9% 400 0.7% 11,381 0.7% 474,187

Sep-17 8,056 2.1% 7,488 3.0% 602 1.7% 16,146 2.4% 474,673

Oct-17 10,939 2.9% 9,860 4.2% 879 2.5% 21,678 3.4% 472,653

Nov-17 13,944 4.0% 12,779 5.6% 1,199 3.7% 27,922 4.6% 473,496

Dec-17 15,846 5.1% 15,866 7.2% 1,470 5.1% 33,182 5.9% 475,151

Jan-18 18,041 5.8% 19,238 9.0% 1,769 6.1% 39,048 7.0% 479,772

Feb-18 19,553 6.5% 21,064 10.7% 1,860 7.2% 42,477 8.1% 479,028

Mar-18 21,182 7.7% 22,617 12.6% 1,903 7.8% 45,702 9.5% 479,557

Apr-18 22,666 8.2% 24,240 13.6% 2,074 8.5% 48,980 10.2% 479,041

May-18 24,128 8.7% 26,046 14.5% 1,965 8.2% 52,139 10.8% 481,707

Jun-18

Fiscal Year Averages

Fiscal YearTraditional

Medicaid

% of

Traditional

Medicaid

Newly

Eligible

Adults

% of Newly

Eligible

Nevada

Check Up

% of

Nevada

Check Up

Total for

Plan% of Total

Traditional

Medicaid

% of

Traditional

Medicaid

Newly

Eligible

Adults

% of Newly

Eligible

Nevada

Check Up

% of

Nevada

Check Up

Total for

Plan% of Total

FY14

FY15

FY16

FY17

FY18 YTD 14,697 4.7% 15,094 7.4% 1,299 4.7% 31,090 5.7% 1,210 0.4% 1,238 0.7% 90 0.4% 2,538 0.5%

Note: Aetna Better Health only participated in the Managed Care program for two months. Their case loads for the two months are included in Totals

Total Managed

Care

Enrollment

Note: Traditional Medicaid totals include both cat 11 (CHIP Expansion), and cat 12 (TANF/CHAP) populations.

Silver Summit Aetna

Month

Silver Summit Aetna

DHHS Director's Office 22 of 30 6/14/2018

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215,101

219,885 220,290220,454

200,000

205,000

210,000

215,000

220,000

225,000

200,000

205,000

210,000

215,000

220,000

225,000Ju

l-1

6A

ug-

16

Sep

-16

Oct

-16

No

v-1

6D

ec-

16

Jan

-17

Feb

-17

Mar

-17

Ap

r-1

7M

ay-1

7Ju

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7Ju

l-1

7A

ug-

17

Sep

-17

Oct

-17

No

v-1

7D

ec-

17

Jan

-18

Feb

-18

Mar

-18

Ap

r-1

8M

ay-1

8Ju

n-1

8Ju

l-1

8A

ug-

18

Sep

-18

Oct

-18

No

v-1

8D

ec-

18

Jan

-19

Feb

-19

Mar

-19

Ap

r-1

9M

ay-1

9Ju

n-1

9Ju

l-1

9A

ug-

19

Sep

-19

Oct

-19

No

v-1

9D

ec-

19

Jan

-20

Feb

-20

Mar

-20

Ap

r-2

0M

ay-2

0Ju

n-2

0Ju

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0A

ug-

20

Sep

-20

Oct

-20

No

v-2

0D

ec-

20

Jan

-21

Feb

-21

Mar

-21

Ap

r-2

1M

ay-2

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n-2

1

Newly Eligible Adults

Newly Eligible Adults Leg. Approved June 2018 Projection Agency Request

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Newly Eligible Adults

FY18 & FY19 Biennium Fiscal Year Averages

MonthNewly Eligible

AdultsMonth

Newly Eligible

Adults

Leg.

Approved

Agency

Request

June 2018

ProjectionMonth

Agency

Request

Newly Eligible

AdultsFiscal Year

Newly Eligible

AdultsPercent Change

Jul-15 182,223 Jul-17 211,060 214,390 Jul-19 216,921 216,535 FY14 37,231

Aug-15 183,742 Aug-17 211,736 215,672 Aug-19 217,929 217,546 FY15 164,423 341.6%

Sep-15 187,110 Sep-17 211,428 215,691 Sep-19 217,499 217,163 FY16 195,373 18.8%

Oct-15 189,623 Oct-17 211,805 216,251 Oct-19 218,218 217,858 FY17 207,448 6.2%

Nov-15 192,224 Nov-17 212,028 216,105 Nov-19 218,169 217,840 FY18 YTD 213,226 2.8%

Dec-15 196,446 Dec-17 213,384 215,596 Dec-19 218,010 217,700

Jan-16 199,534 Jan-18 215,236 215,576 Jan-20 218,048 217,722

Feb-16 203,292 Feb-18 214,570 214,810 Feb-20 217,434 217,130

Mar-16 203,939 Mar-18 214,266 215,051 Mar-20 217,559 217,336

Apr-16 202,469 Apr-18 214,869 215,296 214,869 Apr-20 218,112 217,908

May-16 202,255 May-18 215,101 216,011 215,586 215,101 May-20 218,700 218,457

Jun-16 201,613 Jun-18 216,215 215,800 215,292 Jun-20 218,531 218,292

Jul-16 200,583 Jul-18 216,778 216,253 215,707 Jul-20 218,784 218,551

Aug-16 202,122 Aug-18 218,009 217,408 216,819 Aug-20 219,751 219,552

Sep-16 203,163 Sep-18 217,673 216,931 216,364 Sep-20 219,280 219,084

Oct-16 204,878 Oct-18 218,687 217,928 217,365 Oct-20 219,955 219,731

Nov-16 205,406 Nov-18 218,810 217,861 217,270 Nov-20 219,863 219,659

Dec-16 207,966 Dec-18 218,802 217,172 216,558 Dec-20 219,745 219,552

Jan-17 210,296 Jan-19 218,980 216,526 215,895 Jan-21 219,857 219,639

Feb-17 210,670 Feb-19 218,499 215,669 215,016 Feb-21 219,323 219,104

Mar-17 211,414 Mar-19 218,614 215,681 215,218 Mar-21 219,533 219,347

Apr-17 210,861 Apr-19 219,372 216,343 215,904 Apr-21 220,083 219,897

May-17 211,053 May-19 220,076 216,936 216,501 May-21 220,620 220,446

Jun-17 210,960 Jun-19 219,885 216,634 216,281 Jun-21 220,454 220,290

FY16 & FY17 Biennium FY20 & FY21 Biennium

Note: This caseload includes childless adults age 19-64

between 0%-138% FPL and parents age 19-64 between

23%-138% FPL.

37,231

164,423

195,373207,448 213,226

0

50,000

100,000

150,000

200,000

250,000

FY14 FY15 FY16 FY17 FY18 YTD

Newly Eligible Adults

DHHS Director's Office 24 of 30 6/14/2018

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27,813

29,661

29,242

29,458

24,000

25,000

26,000

27,000

28,000

29,000

30,000

24,000

25,000

26,000

27,000

28,000

29,000

30,000Ju

l-1

6A

ug-

16

Sep

-16

Oct

-16

No

v-1

6D

ec-

16

Jan

-17

Feb

-17

Mar

-17

Ap

r-1

7M

ay-1

7Ju

n-1

7Ju

l-1

7A

ug-

17

Sep

-17

Oct

-17

No

v-1

7D

ec-

17

Jan

-18

Feb

-18

Mar

-18

Ap

r-1

8M

ay-1

8Ju

n-1

8Ju

l-1

8A

ug-

18

Sep

-18

Oct

-18

No

v-1

8D

ec-

18

Jan

-19

Feb

-19

Mar

-19

Ap

r-1

9M

ay-1

9Ju

n-1

9Ju

l-1

9A

ug-

19

Sep

-19

Oct

-19

No

v-1

9D

ec-

19

Jan

-20

Feb

-20

Mar

-20

Ap

r-2

0M

ay-2

0Ju

n-2

0Ju

l-2

0A

ug-

20

Sep

-20

Oct

-20

No

v-2

0D

ec-

20

Jan

-21

Feb

-21

Mar

-21

Ap

r-2

1M

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1

Nevada Check Up

Nevada Check Up Leg. Approved June 2018 Projection Agency Request

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Nevada Check Up

FY18 & FY19 Biennium Fiscal Year Averages

MonthNevada Check

UpMonth

Nevada Check

UpLeg. Approved

Agency

Request

June 2018

ProjectionMonth

Agency

Request

Nevada Check

UpFiscal Year Nevada Check Up

Percent

Change

Jul-15 20,995 Jul-17 26,369 27,018 Jul-19 29,256 28,975 FY12 21,355

Aug-15 21,373 Aug-17 26,604 27,342 Aug-19 29,152 28,849 FY13 21,207 -0.7%

Sep-15 21,154 Sep-17 26,935 27,531 Sep-19 29,355 29,041 FY14 21,771 2.7%

Oct-15 22,419 Oct-17 27,515 27,739 Oct-19 29,337 29,021 FY15 22,606 3.8%

Nov-15 22,742 Nov-17 27,372 27,880 Nov-19 29,409 29,115 FY16 22,630 0.1%

Dec-15 22,922 Dec-17 26,842 27,997 Dec-19 29,478 29,201 FY17 25,699 13.6%

Jan-16 22,211 Jan-18 27,314 28,146 Jan-20 29,441 29,179 FY18 YTD 27,290 6.2%

Feb-16 23,276 Feb-18 27,825 28,194 Feb-20 29,545 29,300

Mar-16 22,471 Mar-18 27,893 28,354 Mar-20 29,520 29,288

Apr-16 23,837 Apr-18 27,713 28,476 27,713 Apr-20 29,411 29,195

May-16 24,431 May-18 27,813 28,625 27,786 27,813 May-20 29,328 29,111

Jun-16 23,728 Jun-18 28,736 27,939 27,930 Jun-20 29,418 29,201

Jul-16 24,315 Jul-18 28,848 28,106 28,086 Jul-20 29,432 29,220

Aug-16 24,801 Aug-18 29,054 28,123 28,081 Aug-20 29,288 29,067

Sep-16 24,741 Sep-18 29,076 28,438 28,392 Sep-20 29,440 29,233

Oct-16 25,558 Oct-18 29,215 28,555 28,492 Oct-20 29,379 29,177

Nov-16 26,036 Nov-18 29,268 28,745 28,679 Nov-20 29,427 29,238

Dec-16 25,492 Dec-18 29,306 28,905 28,818 Dec-20 29,508 29,306

Jan-17 25,896 Jan-19 29,387 28,933 28,802 Jan-21 29,488 29,278

Feb-17 26,551 Feb-19 29,370 29,102 28,942 Feb-21 29,607 29,403

Mar-17 25,795 Mar-19 29,431 29,135 28,926 Mar-21 29,585 29,385

Apr-17 26,050 Apr-19 29,545 29,081 28,844 Apr-21 29,479 29,260

May-17 26,989 May-19 29,648 29,058 28,799 May-21 29,381 29,159

Jun-17 26,165 Jun-19 29,661 29,199 28,928 Jun-21 29,458 29,242

FY16 & FY17 Biennium FY20 & FY21 Biennium

21

,35

5

21

,20

7

21

,77

1

22

,60

6

22

,63

0

25

,69

9

27

,29

0

0

5,000

10,000

15,000

20,000

25,000

30,000

FY12 FY13 FY14 FY15 FY16 FY17 FY18 YTD

Nevada Check Up

DHHS Director's Office 26 of 30 6/14/2018

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137

242315

356

16

32

45

14

19

2230

1,423

1,405

1,378 1,368

1,275

1,252

1,274

1,2581,311

0

200

400

600

800

1,000

1,200

1,400

1,600

0

200

400

600

800

1,000

1,200

1,400

1,600

New Clients Added Under SB 325*

New Original Medicaid Clients New Nevada Check Up Clients New CHIP to Medicaid Clients Emergency Medical Children **

**Data for the Emergency Medical Children will lag two months behind to account forretroactive cases.

*SB 325 went in to effect in February 2018. Data for this group is not available before then.

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SB 325

Fiscal Year Averages

Month

New CHIP to

Medicaid

Clients

New Original

Medicaid

Clients

New Nevada

Check Up

Clients

Total New

ClientsFiscal Year

New CHIP to

Medicaid

Clients

New Original

Medicaid

Clients

New Nevada

Check Up

Clients

Total New

Clients

Feb-18 14 137 0 151 FY18 YTD 21 263 23 307

Mar-18 19 242 16 277

Apr-18 22 315 32 369

May-18 30 356 45 431

Jun-18

Jul-18

Aug-18

Sep-18

Oct-18

Nov-18

Dec-18

Jan-19

Feb-19

Mar-19

Apr-19

May-19

Jun-19

SB 325 allowed alien children who are younger than 18 to enroll in

Medicaid programs or Nevada Check Up without the 5-year waitout

period.

Note: Numbers are updated monthly to reflect the caseload with

retroactive clients

21

263

23 0

50

100

150

200

250

300

FY18 YTD

New Clients Added Under SB 325

New CHIP to Medicaid Clients New Original Medicaid ClientsNew Nevada Check Up Clients

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FPL Household Size 1 Household Size 4

22% $2,671 $5,522

26% $3,156 $6,526

100% $12,140 $25,100

122% $14,811 $30,622

133% $16,146 $33,383

138% $16,753 $34,638

165% $20,031 $41,415

200% $24,280 $50,200

205% $24,887 $51,455

2018 Federal Poverty Guidelines

DHHS Director's Office 29 of 30 6/14/2018

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Federal Medical Assistance Percentages (FMAP)

State Fiscal Year FMAPEnhanced (CHIP)

FMAP

ACA Enhanced

(CHIP) FMAPNew Eligibles FMAP

51.79% 66.25%

52.53% 66.77%

54.30% 68.01%

55.34% 68.74%

FY05 55.66% 68.96%

FY06 55.05% 68.53%

FY07 54.14% 67.90%

FY08 52.96% 67.07%

50.66% 65.46%

61.11% 72.78%

50.12% 65.08%

63.93% 74.75%

51.25% 65.87%

62.05% 70.44%

FY12 55.05% 68.54%

FY13 58.86% 71.20%

FY14 62.26% 73.58% 100.00%

FY15 64.04% 74.83% 100.00%

FY16 64.79% 75.35% 92.60% 100.00%

FY17 64.74% 75.32% 98.32% 97.50%

FY18 65.48% 75.84% 98.84% 94.50%

FY19 65.09% 75.57% 98.57% 93.50%

FY20 64.65% 75.26% 89.64% 91.50%

FY21 64.44% 75.11% 77.98% 90.00%

Note: The green cells reflect a 2.95% increase for the period April 2003 through June 2004. The blue cells

reflect the ARRA stimulus adjusted FMAP for October 2008 through December 2010. The FMAP values for

FY20 through FY21 are projections.

FY03

FY04

FY09

FY10

FY11

DHHS Director's Office 30 of 30 6/14/2018