NRS 428.206 Agreement to transfer money from Fund to Medicaid Division of Nevada Health Authority to include in State Plan for Medicaid enhanced rate of reimbursement for hospital care provided to Medicaid recipients or to make supplemental payments to hospitals for such care.
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NRS 428.206 Agreement to transfer money from Fund to Medicaid Division of Nevada Health Authority to include in State Plan for Medicaid enhanced rate of reimbursement for hospital care provided to Medicaid recipients or to make supplemental payments to hospitals for such care.
1. The Board of Trustees of the Fund for Hospital Care to Indigent Persons may enter into an agreement with the Medicaid Division of the Nevada Health Authority whereby:
(a)The Board agrees to transfer an agreed upon amount of money each year from the Fund to the Division;
(b)The Division agrees to use the money so transferred to:
(1)Include in the State Plan for Medicaid an enhanced rate of reimbursement for hospital care provided to recipients of Medicaid or to make supplemental payments to the hospital for the provision of such hospital care through increased federal financial participation;
(2)Offset any decrease in savings generated by any component of the upper payment limit program established under the State Plan for Medicaid that results from providing supplemental payments to hospitals from the Fund pursuant to subparagraph (1); and
(3)Satisfy any portion of the obligation of a county to pay the nonfederal share of expenditures pursuant to NRS 422.272 ;
(c)The Division agrees to return any money transferred to the Division pursuant to the agreement if the Federal Government does not approve the enhanced rate of reimbursement or supplemental payments included in the State Plan;
(d)The Board agrees to continue to transfer not less than the same amount of money as the previous year if the State Plan is approved by the Federal Government until the Board has requested the Division to exclude the enhanced rate of reimbursement or supplemental payments from the State Plan and the Federal Government approves the State Plan without such enhanced rates or supplemental payments; and
(e)The Division agrees to exclude the enhanced rate of reimbursement or supplemental payments from the State Plan when it is next submitted to the Federal Government for approval if so requested by the Board.
2. Any money transferred from the Fund to the Division pursuant to this section must not be used to replace or supplant funding available from other sources for the same purpose.
3. As used in this section, “upper payment limit program” means a program providing for supplemental payments, not to exceed a limit calculated in the manner prescribed in the State Plan for Medicaid, to hospitals owned or operated by a governmental entity other than this State or an agency of this State.