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Client Service Provider PMTS

Nevada spent $999 million on client service provider PMTS in FY2026 — 1187% of a $84.1 million budget. That is about $1 in every $9 of Client and provider payments's spending.

That is 11% more than in FY2025 ($901 million), not adjusted for inflation.

FY2026
$999 million$998,843,970
FY2026
$84.1 millionReserves excluded
Share of budget spent
1187%Spent ÷ budget
Change from FY2025
+10.9%FY2025: $901 million

11.7% of Client and provider payments spending.

Spent each year, FY2006 onwards · dashed line: budget
Show the numbers
Spent and budget each fiscal year
Fiscal yearSpentBudget
FY2006$322 millionNot available
FY2007$338 millionNot available
FY2008$344 millionNot available
FY2009$355 millionNot available
FY2010$349 million$379 million
FY2011$374 million$388 million
FY2012$417 million$488 million
FY2013$446 million$505 million
FY2014$420 million$481 million
FY2015$538 million$1.14 billion
FY2016$585 million$521 million
FY2017$620 million$859 million
FY2018$601 million$964 million
FY2019$707 million$862 million
FY2020$693 million$705 million
FY2021$575 million$957 million
FY2022$690 million$939 million
FY2023$696 million$777 million
FY2024$802 million$849 million
FY2025$901 million$1.61 billion
FY2026$999 million$84.1 million
FY2027See note$314 million
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Where the money went, by budget account

17 budget accounts. The largest, NVHA - Nevada Medicaid, Title XIX, accounts for 72% of the total.
Budget accounts of Client Service Provider PMTS, FY2026
Budget accountSpent FY2026
NVHA - Nevada Medicaid, Title XIX3243$716 millionof minus $268 million
DHS-ADSD - Desert Regional Center3279$186 millionof $232 million
DHS-ADSD - Sierra Regional Center3280$67.8 millionof $82.8 million
DHS-ADSD - Rural Regional Center3167$23.8 millionof $29.5 million
DHS-DPBH - So NV Adult Mental Health Services3161$1.94 millionof $3.95 million
DHS-DPBH - No NV Adult Mental Health SVCS3162$1.42 millionof $1.86 million
NVHA - Nevada Check Up Program3178$570 thousandof $763 thousand
ADMIN BOE/STALE CLAIMS-Non-Exec4888$462 thousandNo budget
NDE - Office of the Superintendent2673$282 thousandof $282 thousand
DHS RRC Gift Fund-Non-Exec3163None recordedof $15.7 thousand
DHS Sierra Regional Center Gift Fund-Non-Exec3288None recordedof $13.4 thousand
DHS-DCFS - Rural Child Welfare3229$11.5 thousandof $356 thousand
Show 5 more rows
Budget accounts of Client Service Provider PMTS, FY2026, continued
Budget accountSpent FY2026
DHS-DPBH - WIC Food Supplement3214$3.5 thousandof $100 thousand
DHS-DCFS - Victims of Crime4895$3.2 thousandNo budget
DHS-DPBH - Communicable Diseases3215$2.9 thousandof $332
DHS-DPBH - Rural Clinics3648None recordedof $657
DETR - Disability Adjudication3269$243of $2.5 thousand
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Over time

Spent each year, stacked by budget account; the dashed line is the budget. Not adjusted for inflation.
  • Other (49)
  • DHS-DPBH - So NV Adult Mental Health Services
  • DHS-ADSD - Rural Regional Center
  • DHS-ADSD - Sierra Regional Center
  • DHS-ADSD - Desert Regional Center
  • NVHA - Nevada Medicaid, Title XIX
  • Budget (current, reserves excluded)
Show the numbers
Spent each year by budget accounts
Fiscal yearNVHA - Nevada Medicaid, Title XIXDHS-ADSD - Desert Regional CenterDHS-ADSD - Sierra Regional CenterDHS-ADSD - Rural Regional CenterDHS-DPBH - So NV Adult Mental Health ServicesOther (49)Budget
FY2006$263 million$33.9 million$16.8 million$5.81 million$1.41 million$1.15 million—
FY2007$275 million$33.1 million$19.3 million$7.99 million$2.10 million$785 thousand—
FY2008$269 million$44.4 million$20.2 million$7.79 million$2.12 million$937 thousand—
FY2009$276 million$45.3 million$21.5 million$7.98 million$2.70 million$1.80 million—
FY2010$265 million$48.6 million$23.5 million$8.02 million$2.45 million$2.23 million$379 million
FY2011$287 million$51.3 million$23.3 million$8.52 million$2.53 million$2.01 million$388 million
FY2012$330 million$51.8 million$24.0 million$8.30 million$1.36 million$1.63 million$488 million
FY2013$353 million$54.9 million$25.5 million$8.13 million$2.78 million$1.68 million$505 million
FY2014$321 million$58.8 million$25.6 million$9.47 million$3.71 million$1.72 million$481 million
FY2015$434 million$63.8 million$25.8 million$9.75 million$2.73 million$2.18 million$1.14 billion
FY2016$476 million$65.0 million$28.1 million$10.6 million$3.46 million$2.12 million$521 million
FY2017$500 million$72.9 million$30.6 million$11.8 million$2.26 million$2.25 million$859 million
FY2018$468 million$84.0 million$33.1 million$12.8 million$1.18 million$2.35 million$964 million
FY2019$561 million$93.6 million$36.4 million$12.0 million$1.43 million$2.02 million$862 million
FY2020$521 million$114 million$40.7 million$13.6 million$1.42 million$1.87 million$705 million
FY2021$401 million$116 million$42.9 million$14.1 million$954 thousand$899 thousand$957 million
FY2022$503 million$124 million$46.8 million$13.6 million$1.16 million$1.29 million$939 million
FY2023$503 million$127 million$49.5 million$13.4 million$1.24 million$1.14 million$777 million
FY2024$582 million$145 million$54.9 million$16.1 million$1.46 million$1.90 million$849 million
FY2025$591 million$202 million$77.3 million$27.0 million$1.86 million$2.19 million$1.61 billion
FY2026$716 million$186 million$67.8 million$23.8 million$1.94 million$2.76 million$84.1 million
FY2027——————$314 million
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Budget journey, 2025-27

How the 's budget changed from the Governor's proposal to today.

For FY2026 the Legislature approved $333 million, 12.2% less than the Governor recommended. , many approved by the , have lowered it to $84.1 million.

Budget journey, 2025-27 biennium
StepFY2026FY2027
$379 million$362 million
$333 million$285 million
$84.1 million(minus $249 million adj.)$314 million(+$28.6 million adj.)
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Notes

Budget accounts as organised in FY2026. Each row links to its page in Explore.