Nevada
Rehab now more accessible to Nevada Medicaid recipients
Residential treatment for addiction is expected to become more available to Nevada Medicaid beneficiaries this year, even as congressional Republicans consider cuts to the insurance program for low-income people.
In December 2022, the federal government gave approval for a requirement that managed-care organizations in Nevada cover residential treatment — live-in treatment at an addiction treatment facility — for up to 30 days, if “deemed medically necessary.”
But it took revisions to Medicaid’s complex rules on reimbursement before managed-care organizations broadly implemented the requirement, said Jeff Iverson, CEO of CrossRoads of Southern Nevada treatment center.
In October of last year, the federal Centers for Medicare & Medicaid Services gave approval for Nevada Medicaid to reimburse for residential treatment based on a bundled rate, allowing a higher reimbursement rate, according to Nevada Medicaid.
“Nevada Medicaid is expecting an uptick in the number of providers now that there is a more sustainable rate for this array of services,” the agency said.
Asked who’s to blame for the slow implementation, Iverson said, “There’s just a lot of finger-pointing. The MCOs blame the state.”
Related: ‘It is, frankly, dangerous’: Addiction treatment centers claim insurance denials have increased
Nevada Medicaid said implementation required, in part, updating the software system to allow providers to bill for services. It also required coordination with another state health division providing grants to fund these services.
Meanwhile, managed-care organizations Anthem and Molina have been using a model of care that covered detox and outpatient treatment at CrossRoads coupled with off-campus housing and transportation to treatment, Iverson said.
Recently, all of the managed-care organizations, except for Health Plan of Nevada, have entered into contracts with CrossRoads to begin providing residential treatment, he said.
Health Plan of Nevada had a contract with CrossRoads in 2023 to provide services, including detox and residential treatment, but late that year began to deny treatment and refer its clients to outpatient clinics, Iverson said.
In a statement, Health Plan of Nevada said it provides access “to quality, evidence-based behavioral health care” for its members.
As of Jan. 1, a policy went into effect under which the managed-care organizations are beginning to cover residential treatment for Medicaid beneficiaries in the specialty courts of the Clark County court system, court spokesperson Mary Ann Price said.
One such court is adult drug court, a court-supervised, comprehensive inpatient and outpatient substance abuse treatment program for individuals dependent on alcohol or drugs. The aim is to address substance abuse issues to reduce recidivism.
Previously, the court obtained grants to cover treatment, said DeDe Parker, who a few months ago left her position as an administrator with the Clark County court system after eight years, including several as the administrator over specialty courts.
“The state wasn’t going to fund us because Medicaid was supposed to pick up funding residential treatment,” Parker said. “When I left, we were still trying to fight that.”
There was also an ongoing conversation, she said, about how individuals outside the court system could get treatment at all.
An average of 268 people over each of the past five years have received residential treatment funded through the court system, according to data from Price.
Contact Mary Hynes at mhynes@reviewjournal.com or at 702-383-0336. Follow @MaryHynes1 on X. Hynes is a member of the Review-Journal’s investigative team, focusing on reporting that holds leaders and agencies accountable and exposes wrongdoing.
Medicaid eligibility
In Nevada, households with annual incomes of up to 138 percent of the federal poverty level may qualify for Medicaid.
This is an income of about $20,800 a year for an individual and $43,000 for a family of four.
Also eligible are the following in households with somewhat higher income levels, depending on the group:
— Children.
— Pregnant women.
— Parents or caretakers.
— Supplemental Security Income recipients, including blind or disabled individuals.
— Certain Medicare beneficiaries.
Source: Nevada Medicaid
Nevada
GOP primary for open US House seat and Democratic governors race highlight Nevada ballot
LAS VEGAS (AP) — Nevadans are choosing their party nominees Tuesday for two closely watched congressional seats and the governor’s race, among others, as the state grapples with an affordable housing shortage, exploding energy demand from data centers and federal cuts to key state programs.
The state has a closed primary, meaning only registered Democrats and Republicans will vote in party contests after an effort to open them up failed in 2024.
Several primaries feature matchups between candidates backed by party leaders and political outsiders promising change. Come November, the governor’s race is considered one of the most competitive in the country, and holding on to the 3rd Congressional District is considered crucial for Democrats’ hope of retaking the U.S. House.
Here’s a look at the most prominent races:
Democrats seek a rival for Lombardo
Gov. Joe Lombardo, a Republican, is considered one of the most vulnerable governors in the country this fall.
The Democrats vying to challenge him include state Attorney General Aaron Ford, who has the backing of the Democratic congressional delegation and former Vice President Kamala Harris, and Alexis Hill, a county commissioner in northern Nevada who campaigned as a candidate willing to shake things up.
They focused their campaigns on affordability, as the state continues to see a shortage of affordable housing, some of the highest gas prices in the country and cuts to federal healthcare and food assistance programs.
Ford largely ignored Hill, instead directing his attacks at Lombardo and arguing that both the governor and Trump are responsible for Nevadans’ economic woes. He is trying to become Nevada’s first Black governor.
2nd Congressional District
In the Republican contest to replace longtime Rep. Mark Amodei, who is retiring, President Donald Trump has endorsed David Flippo, a loyalist of the president who has never held elected office. Amodei and Lombardo have backed James Settelmeyer, a former state senator with a long political track record.
The district covers northern Nevada and includes Reno and Carson City, the capital, along with an immense rural expanse.
Trump-endorsed candidates have seen successful in primaries elsewhere, underscoring his unrivaled power over the Republican Party as he enters the last years of his presidency. He easily won the district in the 2024 presidential election.
The GOP nominee has a good chance of winning in November, as registered Republicans outnumber Democrats by 70,000 in the 2nd District. A Republican has held the seat since the district was created in the 1980s.
Still, Democrats hope to entice the large number of nonpartisan voters in the district this fall. Their candidates include Teresa Benitez-Thompson, a former majority floor leader of the Nevada Assembly, and Greg Kidd, an investor who ran in the last cycle as a nonpartisan.
3rd Congressional District
Nevada’s other three members of Congress, all Democrats, are expected to win their primaries easily.
In the 3rd District, Republicans are battling to determine who will face Democratic Rep. Susie Lee in what is considered the most competitive congressional district in Nevada because of its narrow Democratic registration advantage, its high number of nonpartisan voters and a history of razor-thin election margins. In 2024 both Lee and Trump won narrowly.
Candidates include Trump-backed Marty O’Donnell, a composer who worked on the “Halo” video game series and ran unsuccessfully for the seat in 2024; Jeff Gunter, a dermatologist and former ambassador to Iceland; neurosurgeon Aury Nagy; and businessperson Tera Anderson.
The candidates ran on border security, energy independence and decreasing the federal debt.
Attorney general
With Ford term-limited and running for governor, the opening has prompted competitive primaries for the state’s top law enforcement post.
The Democratic side features state Senate Majority Leader Nicole Cannizzaro and Treasurer Zach Conine. Both campaigned on promises to take on the Trump administration, following in the footsteps of Ford, who filed numerous lawsuits against the federal government.
For the Republicans, Trump-backed attorney Adriana Guzmán Fralick faces Douglas County commissioner Danny Tarkanian. Tarkanian, son of legendary University of Nevada, Las Vegas basketball coach Jerry Tarkanian, previously ran unsuccessfully in multiple congressional races.
Both candidates campaigned on “election integrity,” casting doubt on voting security. Nevada is one of the swing states in which Trump falsely claimed the 2020 election was stolen, despite officials finding no evidence of widespread fraud.
Tarkanian promised to investigate voter fraud allegations, while Guzmán Fralick vowed to seek passage of the SAVE Nevada Act, which would be similar to changes Trump has sought at the federal level.
Her legislation would require all votes to be counted on Election Day, end universal mail ballots and eliminate automatic voter registration. It would almost certainly hit a dead end in the Democratic-controlled Legislature.
GOP secretary of state candidates question Nevada’s elections
Several Republicans are running for secretary of state, the office that oversees elections, including some who falsely claimed the 2020 election was stolen from Trump. The winner of the primary will take on Democratic Secretary of State Cisco Aguilar.
The GOP candidates include Jim Marchant, a former state lawmaker and perennial candidate who has said the 2020 election “was probably stolen”; Sharron Angle, a former state lawmaker who was part of an effort to block the certification of Nevada’s 2020 election results; and Shirley Folkins-Roberts, an attorney who received Lombardo’s endorsement and has denied there is widespread fraud in Nevada’s elections.
All the candidates support implementing voter ID, which will be on the ballot for the second time in November after the question passed by a wide margin in 2024.
Angle promises to enforce voter ID if voters pass it and supports Trump’s executive order seeking to require documentary proof of citizenship to vote. The courts have so far halted that order, issued last year, from taking effect.
Marchant wants to eliminate electronic voting machines and end the state’s universal mail ballot system. He also wants to require paper ballots, which would be counted by hand, according to his campaign website.
Folkins-Roberts said she will work to keep voter rolls accurate and up-to-date, require voter ID and ensure that election results are delivered on time. She also wants to reverse the automatic voter registration system. In an interview with News 4 Reno, Folkins-Roberts said she believes Nevada’s elections are “good,” but wants to improve voters’ confidence by making changes.
Nevada
Red Flag Warning issued for heightened fire danger in Southern Nevada
LAS VEGAS (KSNV) — We’ll start the week with a heightened fire danger with dangerous heat later this week.
TODAY
Expect mostly sunny skies with winds picking up again on Monday. High temperatures will reach 98 degrees in Las Vegas with south winds 10-20 mph and wind gusts up to 30 mph.
A RED FLAG WARNING is in place from 10am to 9pm Monday for gusty winds and dry weather, so if a fire started, it would spread quickly.
Winds are estimated to be 20-25 mph with gusts around 40 mph at times with relative humidity of 5%-15%.
Air quality is ranked ‘good’ to ‘moderate’ for dust and tree pollen. The most common pollens are juniper, cedar, willow, sycamore and palm.
TONIGHT
We’ll see variable clouds this evening with skies going from mostly cloudy to mostly clear overnight.
Wind gusts will pick up again before midnight with gusts 30-40 mph possible downslope of the Spring Mountains in the west valley.
Elsewhere, gusts will be 20-30 mph. Breezes will eventually back down to 5-15 mph overnight. Valley lows will drop to around 74 degrees.
WHAT’S NEXT
We have reached 109 consecutive days without measurable rain in Las Vegas.
No rain is in sight, but for perspective, June is the driest month of the year in Las Vegas. Fingers crossed on a hopefully more active monsoon season!
High pressure builds next with highs 5-10 degrees above normal. Temperatures will reach around 108 degrees in Las Vegas by Friday. The last time we hit a high temperature of 108 degrees was back on August 20th of last year.
Not much relief is in sight by the weekend with highs around 107 degrees and temps at or above 105-106 degrees NEXT Monday through Wednesday.
Nevada
DNA Doe Project unlocks cold case in Nevada
Growing DNA databases continue to unlock decades-old cold cases. How the DNA Doe Project helped to identify remains 37 years later.
© KSNV, NBC News Channel
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