medicaid chart pack -...
TRANSCRIPT
Medicaid Chart PackJune 2018
DHHS Director's Office 1 of 30 6/14/2018
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
7/2
/13
8/6
/13
9/9
/13
10
/10
/13
11
/14
/13
12
/19
/13
1/2
4/1
4
2/2
7/1
4
4/1
/14
5/2
/14
6/5
/14
7/9
/14
8/1
1/1
4
9/1
2/1
4
10
/15
/14
11
/19
/14
12
/24
/14
1/2
9/1
5
3/4
/15
4/6
/15
5/7
/15
6/1
0/1
5
7/1
4/1
5
8/1
4/1
5
9/1
7/1
5
10
/20
/15
11
/24
/15
12
/30
/15
2/3
/16
3/8
/16
4/8
/16
* 5
/11
/20
16
6/1
4/1
6
7/1
8/1
6
8/1
8/1
6
9/2
1/1
6*
10
/24
/16
11
/30
/16
1/4
/17
2/7
/17
3/1
3/1
7
4/1
3/1
7
5/1
6/1
7
6/1
9/1
7
7/2
1/1
7
8/2
3/1
7
9/2
6/1
7
10
/30
/17
12
/5/1
7
1/9
/18
2/1
2/1
8
3/1
6/1
8
4/1
8/1
8
5/2
1/1
8
Nu
mb
er
of
Pe
nd
ing
Ap
plic
atio
ns
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.
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
48
3
46
2
35
3
35
2 75
2
79
7
81
6
66
6
22
1
27
4
33
4
31
7
28
0
38
3
41
0
41
7
2,6
55 3,4
74
71
2
47
7
30
0
26
9
29
1
3,2
06
2,9
73
3,2
62
2,8
97
4,5
80
6,8
78
6,4
76
5,6
41
3,1
62
2,7
51
2,9
20
3,1
09
3,0
62
3,2
49
3,3
72
3,0
42
5,5
55
8,2
50
6,1
02
3,4
66
2,9
62
2,8
29
2,7
46
1,1
13
1,0
78
1,1
29
1,0
61
1,1
62
1,2
96
1,1
71
1,1
84
98
9
88
3 92
4 95
5
99
0 1,0
59
1,0
38
1,0
80
1,3
65
1,5
66
1,3
74
1,1
49
1,1
32
1,1
22
1,1
31
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000Ju
l-1
6
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
Mo
nth
ly A
vera
gePending Applications (Monthly Average)
Unregistered Applications Family Medical (FMC) Aged, Blind, and Disabled (MAABD)
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
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
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
Dai
ly A
vera
ge o
f A
pp
licat
ion
s P
roce
sse
dMedicaid Applications Processed per Working Day
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
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
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
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
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
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)
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
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
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
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
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
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.
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
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
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
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
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
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
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
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
ay-2
1Ju
n-2
1
Newly Eligible Adults
Newly Eligible Adults Leg. Approved June 2018 Projection Agency Request
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
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
ay-2
1Ju
n-2
1
Nevada Check Up
Nevada Check Up Leg. Approved June 2018 Projection Agency Request
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
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.
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
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
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