Category 15 · budget account 3243

Waiver

Nevada Medicaid, Title XIX spent $136 million on waiver in FY2026 — 93% of a $146 million budget. That is about $1 in every $59 of Nevada Medicaid, Title XIX's spending.

That is 18% more than in FY2025 ($115 million), not adjusted for inflation.

Spent FY2026: $136 million$135,840,681
Budget FY2026: $146 millionReserves excluded
Share of budget spent: 93%Spent ÷ budget
Change from FY2025: +18.4%FY2025: $115 million

1.7% of Nevada Medicaid, Title XIX spending.

Spent each year, FY2006 onwards · dashed line: budget

Year

Compare with

Where the money went

Explore Waiver 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

40 ledger codes. The largest, Client Material Prov Pmts-E, accounts for 28% of the total.

Ledger codes of Waiver, FY2026
Ledger code	Spent FY2026	Budget FY2026	% of budget spent	Share
Client Material Prov Pmts-E7425

Fiscal year	Spent	Budget
FY2006	$51.9 million	Not available
FY2007	$51.3 million	Not available
FY2008	$49.4 million	Not available
FY2009	$49.5 million	Not available
FY2010	$43.5 million	$43.6 million
FY2011	$47.2 million	$50.1 million
FY2012	$32.1 million	$39.5 million
FY2013	$33.6 million	$35.0 million
FY2014	$45.6 million	$45.6 million
FY2015	$54.5 million	$54.6 million
FY2016	$57.7 million	$57.8 million
FY2017	$65.5 million	$75.5 million
FY2018	$65.7 million	$65.9 million
FY2019	$66.8 million	$66.8 million
FY2020	$60.5 million	$60.5 million
FY2021	$57.1 million	$75.0 million
FY2022	$70.2 million	$76.4 million
FY2023	$75.5 million	$89.1 million
FY2024	$90.7 million	$88.1 million
FY2025	$115 million	$143 million
FY2026	$136 million	$146 million
FY2027	See note	$148 million

Ledger code	Spent FY2026	Budget FY2026	% of budget spent	Share
Professional Services-A7431	$2.00 millionof $469 thousand	$469 thousand	425%	1.5%
Client Service Provider PMTS-F7406	$1.05 millionof $1.59 million	$1.59 million	66%	0.8%
Client Material Prov PMTS-F7426	$884 thousandof $1.35 million	$1.35 million	66%	0.7%
Client Service Provider PMTS-B7402	$823 thousandof $2.78 million	$2.78 million	30%	0.6%
Client Service Provider PMTS-H7408	$657 thousandof $738 thousand	$738 thousand	89%	0.5%
Client Medical Provider PMTS7410	$650 thousandof $563 thousand	$563 thousand	115%	0.5%
Client Medical Provider Pmts-E7415	$560 thousandof $1.32 million	$1.32 million	43%	0.4%
Client Service Provider PMTS-I7409	$557 thousandof $1.53 million	$1.53 million	36%	0.4%
Professional Services-D7434	$432 thousandof $584 thousand	$584 thousand	74%	0.3%
Professional Services-B7432	$425 thousandof $607 thousand	$607 thousand	70%	0.3%
Client Material Prov PMTS-H7428	$334 thousandof $357 thousand	$357 thousand	94%	0.2%
Professional Services-C7433	$307 thousandof $363 thousand	$363 thousand	84%	0.2%
Client Service Provider Pmts-A7401	$289 thousandof $401 thousand	$401 thousand	72%	0.2%
Professional Services7430	$269 thousandof $566 thousand	$566 thousand	48%	0.2%
Client Material Prov PMTS-D7424	$263 thousandof $273 thousand	$273 thousand	96%	0.2%
Client Medical Provider Pmts-A7411	$258 thousandof $341 thousand	$341 thousand	76%	0.2%
Prior Year Adjustment7600	$175 thousandNo budget	Not available	—	0.1%
Client Service Provider PMTS-D7404	None recordedof $141 thousand	$141 thousand	—	—
Client Service Provider PMTS-C7403	$139 thousandof $206 thousand	$206 thousand	68%	0.1%
Client Medical Provider PMTS-D7414	$103 thousandof $105 thousand	$105 thousand	98%	0.1%
Professional Services-F7436	$37.1 thousandof $75.2 thousand	$75.2 thousand	49%	0.0%
Client Medical Provider PMTS-I7419	None recordedof $36.8 thousand	$36.8 thousand	—	—
New Community Health Worker7442	$23.0 thousandof $96	$96	23974%	0.0%
Work Training Program8730	None recordedof $10.3 thousand	$10.3 thousand	—	—
Client Medical Provider PMTS-G7417	$3.7 thousandNo budget	Not available	—	0.0%
Professional Services-E7435	$2.4 thousandof $544	$544	432%	0.0%
Client Material Prov Pmts-A7421	None recordedof $1.0 thousand	$1.0 thousand	—	—
Operating7000	None recordedof minus $22.1 million	minus $22.1 million	—	—

Fiscal year	Client Material Prov Pmts-E	Client Medical Provider PMTS-H	Client Service Provider PMTS-G	Client Material Prov PMTS-B	Client Material Prov PMTS-I	Other (35)	Budget
FY2006	$18.9 million	$4.76 million	$8.78 million	$4.46 million	$2.43 million	$10.3 million	—
FY2007	$21.5 million	$4.22 million	$3.94 million	$6.93 million	$3.62 million	$11.1 million	—
FY2008

Step	FY2026	FY2027
Governor recommended	$165 million	$169 million
Legislature approved	$141 million	$148 million
Current budget	$146 million(+$5.25 million adj.)	$148 million

Waiver

Where the money went

Budget vs spent, by ledger code

Over time

Budget journey, 2025-27

Notes