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No decisions yet on Nevada Medicaid cost sharing

Published on NewsOK Modified: February 20, 2013 at 4:58 pm •  Published: February 20, 2013

"They will not get retroactive supplemental payments if they don't enroll by March 15," Willden said.

Those rates, however, do not extend to doctors who treat Nevada checkup patients, another program that insures children through 18 years old who don't qualify for Medicaid. The governor's budget is proposing about $800,000 from the state general fund to equalize doctor rates for the two programs over the next two years beginning July 1.

Some lawmakers questioned if Nevada will have enough Medicaid providers to handle the expected influx of new patients as the health care law is implemented.

"We are all going into a huge unknown period here in about nine months," Willden said.

Another challenge of the federal health care law is how to smooth the transition of people whose income levels may fluctuate at the Medicaid eligibility threshold.

People who are at or below 138 percent of the federal poverty level will receive health care under Medicaid. For an individual, that amount is $15,856 per year. The threshold for a family of four is $32,499.

If their eligibility changes, Willden said his agency will work with administrators of the Silver State Health Insurance Exchange to try to find them private insurers and try to make sure patients don't lose their primary care providers in the transition.

The Silver State Health Insurance Exchange is scheduled to begin taking enrollments Oct. 1 for coverage that begins Jan. 1, 2014.

Willden said trying to coordinate all the various aspects of implementing the law is a daunting challenge.

"We're drinking from a fire hose," he said. "It's pretty rapid stuff right now."