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CSH presents Medicaid business case to Churchill County; board accepts report
Summary
Brooke Page of the Corporation for Supportive Housing presented a Medicaid business case that examined whether Churchill County could become a Medicaid‑billable entity for certain services. The board accepted the report and scheduled a 90‑day follow up; staff will return with recommendations before any funding decisions.
Brooke Page, managing director for the Corporation for Supportive Housing (CSH), told the Churchill County Board of Commissioners that CSH’s year‑long work examined whether the county could bill Medicaid for selected supportive services and offset local costs.
Page said the project focused on two immediate service areas — non‑emergency medical transportation and juvenile justice targeted case management — and that the team completed a service system analysis, staff interviews and a pilot data collection effort to match county services against Medicaid billing codes. “We started this process back in May and June 2024,” Page said in her presentation, describing a crosswalk of county services to the Nevada Medicaid state plan and related waiver opportunities.
Page told the board the business case examined staffing patterns, fully loaded labor costs, fringe benefits, vehicle operations and administrative overhead and considered start‑up and ongoing operational expenses tied to compliant claims billing. The analysis, she said, projects potential reimbursement opportunities if eligible services were billed to Medicaid; during the presentation she reported the pilot data suggested the county "could generate approximately 23,236 thousand dollars in additional revenue if all eligible services were billed to Medicaid," and also described a separate projection of roughly $150,000 in annual recoverable Medicaid revenue tied to the initial two services as the program scales. Page emphasized the financial projections excluded one‑time startup costs such as implementing an electronic health record and compliance infrastructure, and she warned that eligibility of clients is a key determinant of any reimbursement potential.
Shannon Ernst, director of Churchill County Social Services, framed the report as a feasibility study brought to the county by a prior DHHS director and endorsed the approach while urging caution because the Medicaid landscape is changing rapidly. Ernst said she would calendar a 90‑day update and return with any further recommendations; the board voted to accept the report as presented.
The board’s acceptance of the business case is procedural — it does not commit county funds. Any decision to proceed with implementation, staffing changes or new contracts will be presented to the board separately.
