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Medicaid academic partnership proposed to add clinician positions to support geriatrics, child psychiatry, maternal health and population health management
Summary
The division proposed an academic partnership funding four clinician positions (geriatrics, child and adolescent psychiatry, maternal health/OB-GYN and clinical informatics/population health) to draw down federal funds and provide clinical expertise to Medicaid policy and programs.
During budget presentations to the Joint Subcommittee on Human Services, Stacy Weeks described a proposed Medicaid academic partnership (decision unit E309) that would fund clinician positions with public universities to support Medicaid program needs.
The division said the model would have academic institutions (UNR and potentially UNLV) provide clinician-research faculty whose time is split between university clinics and supporting Medicaid program work. The division described four priority positions: geriatric medicine, child and adolescent psychiatry, maternal health (OB-GYN), and a clinician with population-health informatics expertise to support a Medicaid population-health management strategy. Weeks said roughly 75 percent of each position’s time would be federally reimbursable through Medicaid drawdown mechanisms; the academic partner would be expected to cover the state share.
Why it matters
The division said the positions would help fill clinical expertise gaps the agency lacks internally, provide on-the-ground clinical experience informing policy and program design (including work under the DOJ settlement and children’s behavioral health), and create a pipeline for future clinicians and staff with Medicaid expertise. Assembly and Senate members asked about whether the clinicians would continue to see patients; Weeks said the positions would provide clinical services through university clinics while also performing policy and program work for Medicaid.
Ending
The division said the partnership is intended to be funded without net new general-fund cost to the state (the academic partner would provide or reimburse the state share) and that the division will report back to the legislature on implementation plans and partnerships with UNR and UNLV.
