Category 17 · budget account 3243

County Indigent Program

Nevada Medicaid, Title XIX spent $173 million on county indigent program in FY2026 — 96% of a $180 million budget. That is about $1 in every $47 of Nevada Medicaid, Title XIX's spending.

That is 4.4% more than in FY2025 ($165 million), not adjusted for inflation.

Spent FY2026: $173 million$172,516,651
Budget FY2026: $180 millionReserves excluded
Share of budget spent: 96%Spent ÷ budget
Change from FY2025: +4.4%FY2025: $165 million

2.1% of Nevada Medicaid, Title XIX spending.

Spent each year, FY2006 onwards · dashed line: budget

Year

Compare with

Where the money went

Explore County Indigent Program 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 Service Provider PMTS-B, accounts for 40% of the total.

Ledger codes of County Indigent Program, FY2026
Ledger code	Spent FY2026	Budget FY2026	% of budget spent	Share
Client Service Provider PMTS-B7402

Fiscal year	Spent	Budget
FY2006	$65.6 million	Not available
FY2007	$66.1 million	Not available
FY2008	$63.3 million	Not available
FY2009	$71.1 million	Not available
FY2010	$68.0 million	$69.3 million
FY2011	$70.2 million	$73.1 million
FY2012	$82.4 million	$82.4 million
FY2013	$69.4 million	$70.0 million
FY2014	$62.7 million	$64.0 million
FY2015	$65.0 million	$76.6 million
FY2016	$65.7 million	$69.5 million
FY2017	$68.4 million	$84.3 million
FY2018	$67.8 million	$76.7 million
FY2019	$80.4 million	$80.4 million
FY2020	$105 million	$108 million
FY2021	$93.1 million	$107 million
FY2022	$110 million	$113 million
FY2023	$98.5 million	$127 million
FY2024	$79.0 million	$138 million
FY2025	$165 million	$165 million
FY2026	$173 million	$180 million
FY2027	See note	$157 million

Ledger code	Spent FY2026	Budget FY2026	% of budget spent	Share
Client Service Provider PMTS-G7407	$1.43 millionof $2.04 million	$2.04 million	70%	0.8%
Client Service Provider PMTS-D7404	$1.37 millionof $778 thousand	$778 thousand	176%	0.8%
Client Material Prov PMTS-C7423	None recordedof $1.03 million	$1.03 million	—	—
Client Medical Provider Pmts-E7415	$978 thousandof $731 thousand	$731 thousand	134%	0.6%
Professional Services-H7438	$938 thousandof $566 thousand	$566 thousand	166%	0.5%
Client Service Provider Pmts-E7405	$611 thousandof $509 thousand	$509 thousand	120%	0.4%
Professional Services-G7437	$454 thousandof $51.1 thousand	$51.1 thousand	889%	0.3%
Client Service Provider PMTS-H7408	$335 thousandof $216 thousand	$216 thousand	155%	0.2%
Client Service Provider PMTS-I7409	$328 thousandof $433 thousand	$433 thousand	76%	0.2%
Client Material Prov PMTS-F7426	$200 thousandof $143 thousand	$143 thousand	140%	0.1%
Professional Services-D7434	$173 thousandof $86.7 thousand	$86.7 thousand	200%	0.1%
Client Medical Provider PMTS7410	$97.4 thousandof $25.1 thousand	$25.1 thousand	389%	0.1%
Client Material Prov PMTS-H7428	$85.2 thousandof $12.3 thousand	$12.3 thousand	692%	0.0%
Professional Services-C7433	$80.4 thousandof $23.0 thousand	$23.0 thousand	350%	0.0%
Professional Services7430	$70.6 thousandof $11.7 thousand	$11.7 thousand	602%	0.0%
Professional Services-B7432	$69.6 thousandof $62.2 thousand	$62.2 thousand	112%	0.0%
Client Service Provider PMTS-F7406	$69.2 thousandof $401 thousand	$401 thousand	17%	0.0%
Client Medical Provider Pmts-A7411	$32.1 thousandof $20.4 thousand	$20.4 thousand	158%	0.0%
Client Material Prov PMTS-D7424	$31.7 thousandof $13.4 thousand	$13.4 thousand	237%	0.0%
Professional Services-F7436	$26.3 thousandof $1.6 thousand	$1.6 thousand	1611%	0.0%
Client Medical Provider PMTS-I7419	None recordedof $19.1 thousand	$19.1 thousand	—	—
Client Medical Provider PMTS-D7414	$9.5 thousandof $9.4 thousand	$9.4 thousand	101%	0.0%
Client Service Provider Pmts-A7401	None recordedof $7.5 thousand	$7.5 thousand	—	—
New Community Health Worker7442	$2.6 thousandof $49	$49	5240%	0.0%
Professional Services-E7435	$2.0 thousandof $14	$14	14066%	0.0%
Client Material Prov Pmts-A7421	None recordedof $542	$542	—	—
Aid to Individuals-Ak8736	None recordedof minus $598 thousand	minus $598 thousand	—	—
Medicaid Estate Recovery7586	minus $1.09 millionNo budget	Not available	—	−0.6%

Fiscal year	Client Service Provider PMTS-B	Refunds	Client Medical Provider PMTS-H	Client Material Prov Pmts-E	Client Medical Provider PMTS-F	Other (35)	Budget
FY2006	$53.4 million	—	—	$10.8 thousand	$517 thousand	$12.0 million	—
FY2007	$56.4 million	—	—	$11.0 thousand	$391 thousand	$9.45 million	—
FY2008	$53.7 million	—	—

Step	FY2026	FY2027
Governor recommended	$97.0 million	$102 million
Legislature approved	$150 million	$157 million
Current budget	$180 million(+$29.7 million adj.)	$157 million

County Indigent Program

Where the money went

Budget vs spent, by ledger code

Over time

Budget journey, 2025-27

Notes