M E M O R A N D U M

The 1997 Legislature provided that the Legislative Committee on Health Care study the role of essential community providers in the care of indigent and medically underserved people. To assist the committee in its study, we have developed a series of questions for discussion.

These answers should be provided to the committee through Marla L. McDade, Senior Research Analyst, Research Division, Legislative Counsel Bureau, by 5:00 p.m. April 22, 1998. This topic will be included on the May 4, 1998, agenda of the committee, and your responses will be provided to the committee members prior to this meeting.

As you may know, subsection 1 of Section 85, Senate Bill 427, includes language which states that the Legislative Committee on Health Care shall conduct an evaluation of the following:

Keeping this language in mind and considering current discussions in Nevada to establish a mandatory Medicaid managed care program, as well as a children’s health insurance program, please provide answers to the 14 questions listed in the attachment to this document. Feel free to duplicate this questionnaire and memorandum for distribution to others who may have an interest in this issue.

Responses may be returned by facsimile to Ms. McDade at (702) 684-6410, mailed to the address at the top of the preceding page, or delivered in person. Further, any questions about this correspondence should be directed to Ms. McDade at (702) 684-6825. Thank you for your assistance and cooperation with this matter.

1. Why does this organization meet the definition of essential community provider in S.B. 427?

 

 

 

 

 

 

2. What specific health care services does the organization provide in the community and what is the geographic area of service?

 

 

 

 

 

 

3. Briefly discuss the utilization patterns and relevant demographic data for the organization.

 

 

 

 

 

 

4. What are the organization’s revenue sources? Please include all of the organization’s revenue sources regardless of their significance to the agency’s budget.

 

 

5. Of the revenue sources listed in Question 3, specify the percent each source contributes to the total budget.

 

 

 

 

 

 

6. Is the organization currently under contract with any managed care organizations, and if so, is the organization under contract with more than one managed care organization? Please identify the services covered by the contract.

 

 

 

 

 

 

7. If the organization is not under contract with a managed care organization, have negotiations taken place, or are negotiations currently taking place, with a managed care organization for a contract? Please discuss any other items relevant to these negotiations.

 

 

 

 

 

 

8. Describe the history of the organization. Please address the establishment of the organization (authorizing legislation, if any, and subsequent amendments), past and present efforts to maintain the status quo of the organization, and any other relevant issues that may affect the financial viability of the organization.

 

 

 

 

 

9. What does the organization’s board of directors, executive director, or other person of responsibility in the organization view as being detrimental to the financial stability of the organization?

 

 

 

 

 

 

10. If the organization faces financial difficulty, what services will the organization be forced to discontinue?

 

 

 

 

 

11. If services are discontinued, which group or category of clients will be most adversely affected? Please discuss.

 

 

 

 

 

 

12. What other organizations does the agency make referrals to, and what other organizations make referrals to the agency?

 

 

 

 

 

 

13. Please list and discuss specific suggestions, especially in terms of changes to state statutes, to maintain the financial viability of your agency. (Cite and reference the Nevada Revised Statutes and include your suggested concepts for amendments to the statutes.)

 

 

 

 

 

 

 

14. Please offer any other comments that are relevant to this topic.