Revises provisions relating to Medicaid. (BDR 38-450)

Existing law requires the Department of Health and Human Services to administer Medicaid. (NRS 422.270) Section 2 of this bill requires the Department to develop and implement a system of reimbursement for services provided under the Medicaid program through an accountable care organization that focuses on providing high-quality primary care and is improving health outcomes and lowering costs. Section 2 defines “accountable care organization” to mean a group of providers of health care, medical facilities and other persons providing health services who have entered into a partnership to coordinate care and utilize innovative approaches to deliver care to a specified population. Section 3 of this bill requires the Division of Health Care Financing and Policy of the Department to biennially survey providers of health care who participate in Medicaid to solicit recommendations for improving the manner in which providers request and receive reimbursement from Medicaid and the utilization of providers under Medicaid. Section 4 of this bill makes a conforming change to indicate that the provisions of sections 2 and 3 of this bill will be administered in the same manner as the provisions of existing law governing Medicaid. Section 5 of this bill requires the Department to request an amendment to the State Plan for Medicaid to increase the rates of reimbursement for physicians and advanced practice registered nurses.