Category 14 · budget account 3243

MAABD

Nevada Medicaid, Title XIX spent $1.27 billion on MAABD in FY2026 — 95% of a $1.34 billion budget. That is about $1 in every $6 of Nevada Medicaid, Title XIX's spending.

That is about the same as in FY2025 ($1.27 billion).

Spent FY2026: $1.27 billion$1,272,074,352
Budget FY2026: $1.34 billionReserves excluded
Share of budget spent: 95%Spent ÷ budget
Change from FY2025: +0.5%FY2025: $1.27 billion

15.8% of Nevada Medicaid, Title XIX spending.

Spent each year, FY2006 onwards · dashed line: budget

Year

Compare with

Where the money went

Explore MAABD by ledger code: select a block to go a level deeper, or switch views. Totals leave out reserves, pass-through accounts and money paid on to other state accounts.

Budget vs spent, by ledger code

39 ledger codes. The largest, Client Service Provider PMTS-G, accounts for 22% of the total.

Ledger codes of MAABD, FY2026
Ledger code	Spent FY2026	Budget FY2026	% of budget spent	Share
Client Service Provider PMTS-G7407

Fiscal year	Spent	Budget
FY2006	$474 million	Not available
FY2007	$469 million	Not available
FY2008	$472 million	Not available
FY2009	$490 million	Not available
FY2010	$522 million	$530 million
FY2011	$550 million	$550 million
FY2012	$550 million	$567 million
FY2013	$602 million	$604 million
FY2014	$657 million	$663 million
FY2015	$680 million	$691 million
FY2016	$750 million	$751 million
FY2017	$853 million	$856 million
FY2018	$924 million	$924 million
FY2019	$928 million	$936 million
FY2020	$993 million	$993 million
FY2021	$837 million	$1.02 billion
FY2022	$991 million	$991 million
FY2023	$1.00 billion	$1.10 billion
FY2024	$881 million	$1.08 billion
FY2025	$1.27 billion	$1.30 billion
FY2026	$1.27 billion	$1.34 billion
FY2027	See note	$1.35 billion

Ledger code	Spent FY2026	Budget FY2026	% of budget spent	Share
Client Material Prov PMTS-H7428	$21.0 millionof $12.1 million	$12.1 million	174%	1.6%
Client Medical Provider PMTS7410	$18.6 millionof $17.7 million	$17.7 million	105%	1.5%
Client Service Provider Pmts-A7401	$9.06 millionof $7.38 million	$7.38 million	123%	0.7%
Professional Services-D7434	$8.91 millionof $7.09 million	$7.09 million	126%	0.7%
Client Service Provider PMTS-I7409	$8.38 millionof $17.6 million	$17.6 million	48%	0.7%
Professional Services-C7433	$7.43 millionof $7.10 million	$7.10 million	105%	0.6%
Client Service Provider PMTS-D7404	$7.21 millionof $8.50 million	$8.50 million	85%	0.6%
Client Medical Provider Pmts-A7411	$6.54 millionof $6.14 million	$6.14 million	107%	0.5%
Client Service Provider PMTS-H7408	$6.21 millionof $7.45 million	$7.45 million	83%	0.5%
Professional Services-B7432	$6.06 millionof $6.53 million	$6.53 million	93%	0.5%
Client Material Prov PMTS-D7424	$5.54 millionof $3.33 million	$3.33 million	166%	0.4%
Client Medical Provider Pmts-E7415	$5.52 millionof $8.78 million	$8.78 million	63%	0.4%
Client Material Prov Pmts-A7421	$5.28 millionof $7.22 million	$7.22 million	73%	0.4%
Client Service Provider PMTS-C7403	$3.92 millionof $2.56 million	$2.56 million	153%	0.3%
Client Material Prov PMTS-F7426	$3.71 millionof $4.49 million	$4.49 million	83%	0.3%
Client Medical Provider PMTS-I7419	$3.27 millionof $5.25 million	$5.25 million	62%	0.3%
Work Training Program8730	None recordedof $3.19 million	$3.19 million	—	—
Prior Year Adjustment7600	$2.58 millionNo budget	Not available	—	0.2%
Professional Services7430	$1.64 millionof $2.25 million	$2.25 million	73%	0.1%
Client Material Provider PMTS7420	$1.51 millionof $940 thousand	$940 thousand	160%	0.1%
Client Medical Provider PMTS-D7414	$934 thousandof $1.19 million	$1.19 million	78%	0.1%
Professional Services-F7436	$776 thousandof $1.90 million	$1.90 million	41%	0.1%
New Community Health Worker7442	$738 thousandNo budget	Not available	—	0.1%
Client Medical Provider PMTS-G7417	$25.3 thousandNo budget	Not available	—	0.0%
Professional Services-E7435	$25.0 thousandof $9.8 thousand	$9.8 thousand	254%	0.0%
Client Material Prov PMTS-B7422	None recordedof $744	$744	—	—
Refunds7650	$0of $3.49 million	$3.49 million	0%	0.0%

Fiscal year	Client Service Provider PMTS-G	Client Service Provider PMTS-B	Client Material Prov Pmts-E	Client Service Provider PMTS	Professional Services-G	Other (34)	Budget
FY2006	$87.1 million	$91.1 million	$35.0 million	$96.6 million	—	$165 million	—
FY2007	$62.2 million	$95.6 million	$43.1 million	$103 million	—	$165 million	—
FY2008	$60.9 million

Step	FY2026	FY2027
Governor recommended	$1.32 billion	$1.36 billion
Legislature approved	$1.29 billion	$1.33 billion
Current budget	$1.34 billion(+$47.7 million adj.)	$1.35 billion(+$17.0 million adj.)

MAABD

Where the money went

Budget vs spent, by ledger code

Over time

Budget journey, 2025-27

Notes