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Nevada Revised Statutes
Health Care Financing and Policy
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Section
422.001
Definitions.
Section
422.003
"Administrator" defined.
Section
422.021
"Children’s Health Insurance Program" defined.
Section
422.030
"Department" defined.
Section
422.040
"Director" defined.
Section
422.041
"Division" defined.
Section
422.046
"Medicaid" defined.
Section
422.050
"Public assistance" defined.
Section
422.054
"Undivided estate" defined.
Section
422.061
Purposes of Division.
Section
422.063
State plans for certain programs: Development, adoption and revision by Director; Division required to comply.
Section
422.064
State plans for certain programs: Priority access to treatment and services for certain parents.
Section
422.065
Eligibility of persons who are not citizens or nationals of United States for state or local public benefits.
Section
422.075
Division to submit certain information to Nevada Commission on Autism Spectrum Disorders.
Section
422.151
Creation; function.
Section
422.153
Composition; terms and compensation of members.
Section
422.155
Chair; Secretary; meetings; subcommittees.
Section
422.162
Creation; appointment of members; terms; Chair; members serve without additional compensation; member who is state employee must be relieved from duties to prepare for and attend meetings.
Section
422.165
Duties.
Section
422.240
Legislative appropriations; disbursements.
Section
422.242
Gifts and grants of money to Division: Deposit in Gift and Cooperative Account of the Division of Health Care Financing and Policy; use; approval of claims by Administrator.
Section
422.260
Acceptance of Social Security Act and federal money.
Section
422.265
Acceptance of increased benefits of future congressional legislation; regulations.
Section
422.267
Contract or agreement with Federal Government by Director.
Section
422.270
Duties of Department regarding Medicaid and Children’s Health Insurance Program.
Section
422.272
State Plan for Medicaid: Inclusion of requirement for payment of certain costs.
Section
422.273
Establishment, development and implementation of Medicaid managed care program.
Section
422.275
Legal advisers for Division.
Section
422.276
Appeal to Division by applicant for or recipient of benefits from Medicaid or Children’s Health Insurance Program; notice of initial decision; hearing.
Section
422.277
Hearing: Rights of parties; informal disposition; record; transcribing of oral proceedings; findings of fact; certain employees or representatives of Division prohibited from participating in decision.
Section
422.278
Hearing: Person with communications disability entitled to services of interpreter.
Section
422.279
Judicial review: Taking of additional evidence; limitations on review; grounds for reversal; appeal to appellate court.
Section
422.280
Forms of reports and records to be kept by persons subject to supervision or investigation by Division.
Section
422.291
Assistance not assignable or subject to process or bankruptcy law.
Section
422.292
Assistance subject to future amending and repealing acts.
Section
422.293
Subrogation: Department subrogated to rights of recipient of Medicaid or of insurance provided pursuant to Children’s Health Insurance Program; lien on proceeds of recovery.
Section
422.305
Confidentiality of information obtained in investigation of provider of services under State Plan for Medicaid.
Section
422.306
Hearing to review action taken against provider of services under State Plan for Medicaid; regulations; appeal of final decision.
Section
422.308
Family planning service; birth control.
Section
422.309
Provision of prenatal care to pregnant women who are indigent; provision of information concerning availability of prenatal care; regulations.
Section
422.361
Definitions.
Section
422.362
"Cardholder" defined.
Section
422.363
"Medicaid card" defined.
Section
422.364
"Plan" defined.
Section
422.365
"Receives" defined.
Section
422.366
Unlawful acts: Obtaining or possessing card without consent of holder of card; presumption from possession of card; penalty.
Section
422.367
Unlawful acts: Sale or purchase of card; authorization by holder of card for use by person not entitled to use card; penalty.
Section
422.368
Unlawful acts: Use of forged, expired or revoked card to obtain benefits; receipt of benefits by misrepresentation; penalty.
Section
422.369
Unlawful acts: Fraud by person authorized to provide care to holder of card; penalty.
Section
422.376
"Facility for intermediate care" defined.
Section
422.378
Report by nursing facility to Division.
Section
422.379
Administrative penalties for late payment of fee; recoupment of fees and administrative penalties.
Section
422.380
Definitions.
Section
422.382
Intergovernmental transfers of money from counties to Division; deposit in Intergovernmental Transfer Account in State General Fund; administration by Division.
Section
422.385
Disproportionate share payments from Medicaid Budget Account; transfer of money from Intergovernmental Transfer Account.
Section
422.387
Calculation of disproportionate share payments; verification of eligibility for disproportionate share payments; Director authorized to negotiate terms of amendment to State Plan for Medicaid with Centers for Medicare and Medicaid Services of United States Department of Health and Human Services.
Section
422.390
Regulations; quarterly report.
Section
422.396
Establishment and administration of program to provide community-based services; application for federal waiver to amend State Plan for Medicaid; contracting for services; adoption of regulations.
Section
422.401
Definitions.
Section
422.402
"Drug Use Review Board" defined.
Section
422.403
Establishment and management of use by Medicaid program of step therapy and prior authorization; duties of Drug Use Review Board; acceptance of recommendations from Board. [Effective through December 31, 2019.]
Section
422.403
Establishment and management of use by Medicaid program of step therapy and prior authorization; duties of Drug Use Review Board; acceptance of recommendations from Board. [Effective January 1, 2020.]
Section
422.404
Pharmacy and Therapeutics Committee: Chair; terms; vacancies; meetings; quorum. [Effective through December 31, 2019.]
Section
422.404
Silver State Scripts Board: Chair; terms; vacancies; meetings; quorum. [Effective January 1, 2020.]
Section
422.405
Pharmacy and Therapeutics Committee: Duties and powers. [Effective through December 31, 2019.]
Section
422.405
Silver State Scripts Board: Duties and powers. [Effective January 1, 2020.]
Section
422.406
Regulations; contracts for services.
Section
422.410
Fraudulent acts; penalties.
Section
422.450
Definitions.
Section
422.460
"Benefit" defined.
Section
422.470
"Claim" defined.
Section
422.480
"Plan" defined.
Section
422.490
"Provider" defined.
Section
422.500
"Recipient" defined.
Section
422.510
"Records" defined.
Section
422.520
"Sign" defined.
Section
422.525
"Statement or representation" defined.
Section
422.530
Responsibility for false claim, statement or representation.
Section
422.540
Offenses regarding false claims, statements or representations; penalties.
Section
422.550
Statement regarding truth and accuracy of applications, reports and invoices; perjury; presumption concerning person who signs statement on behalf of provider.
Section
422.560
Offenses regarding sale, purchase or lease of goods, services, materials or supplies; penalty.
Section
422.570
Intentional failure to maintain adequate records; intentional destruction of records; penalties.
Section
422.580
Civil penalties for certain violations; liability of provider for excess amount unknowingly accepted; enforcement; use of money collected as penalty or repayment.
Section
422.590
Limitation and accrual of actions.
Section
422.2354
Qualifications.
Section
422.2356
Executive Officer of Division; administration and management of Division.
Section
422.2357
Administration of chapter.
Section
422.2358
Reports.
Section
422.2362
Fiscal duties.
Section
422.2364
Organization of Division; appointment of heads of sections; employees; standards of service.
Section
422.2366
Administration of oaths; testimony of witnesses; subpoenas.
Section
422.2368
Adoption of regulations.
Section
422.2369
Procedure for adopting, amending or repealing regulations.
Section
422.2372
General and miscellaneous powers and duties.
Section
422.2374
Cooperation with Medicaid Fraud Control Unit; suspension or exclusion of provider of goods or services under State Plan for Medicaid.
Section
422.2703
Department required to establish and maintain system for electronic submission of applications for Medicaid or Children’s Health Insurance Program.
Section
422.2704
Review of rates of reimbursement.
Section
422.2712
Reporting of certain rates of reimbursement for physicians.
Section
422.2717
State Plan for Medicaid: Inclusion of requirement that independent foster care adolescents are eligible for Medicaid.
Section
422.2718
State Plan for Medicaid: Inclusion of requirement for payment of certain expenses related to testing for human papillomavirus and administration of human papillomavirus vaccine.
Section
422.2719
State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to fetal alcohol spectrum disorders.
Section
422.2721
State Plan for Medicaid: Payment for services provided through telehealth.
Section
422.2723
State Plan for Medicaid: Inclusion of requirement for payment of certain costs relating to dialysis and emergency care to treat kidney failure.
Section
422.2724
State Plan for Medicaid: Reimbursement of registered nurse for certain services provided to persons eligible for Medicaid.
Section
422.2735
Program to provide increased capitation payments to Medicaid managed care plans for ground emergency medical transportation services provided by governmental provider. [Effective on the date that a program to provide increased capitation payments to governmental providers for ground emergency medical transportation services established pursuant to this section is approved by the Centers for Medicare and Medicaid Services.]
Section
422.2748
Cooperation with Medicaid Fraud Control Unit.
Section
422.2749
Custody, use, preservation and confidentiality of records, files and communications concerning applicants for and recipients of public assistance or assistance pursuant to Children’s Health Insurance Program.
Section
422.2775
Hearing: Evidence.
Section
422.2785
Contents and delivery of decision or order of hearing officer; petition for judicial review; filing of decision and record with court.
Section
422.3085
Development of Sexual Trauma Services Guide; provision of information about Guide to public; regulations.
Section
422.3755
Definitions.
Section
422.3765
"Facility for skilled nursing" defined.
Section
422.3771
"Nursing facility" defined.
Section
422.3775
Payment of fee; amount of fee; allowable cost for Medicaid reimbursement purposes.
Section
422.3785
Creation of Account to Increase the Quality of Nursing Care; deposit of money for credit to Account; expenditures from Account; consequence of federal law prohibiting certain expenditures from Account.
Section
422.3791
Definitions.
Section
422.3792
"Agency to provide personal care services in the home" defined.
Section
422.3793
"Operator" defined.
Section
422.3794
Imposition of assessment; vote; amount of assessment; regulations; deposit of revenue; compliance with federal law; submission of information to Division.
Section
422.3795
Administrative penalties; deduction from future Medicaid payments; notification; payment plans.
Section
422.3805
Federal waivers: Duties of Administrator.
Section
422.3962
Amendment of home and community-based services waiver to include as medical assistance under Medicaid funding of assisted living supportive services for senior citizens who reside in certain assisted living facilities.
Section
422.3964
State Plan for Medicaid: Inclusion of certain home and community-based services. [Effective January 1, 2020.]
Section
422.4015
"Committee" defined. [Effective through December 31, 2019.]
Section
422.4015
"Board" defined. [Effective January 1, 2020.]
Section
422.4021
Health benefit plan" defined. [Effective January 1, 2020.]
Section
422.4022
"Health maintenance organization" defined. [Effective January 1, 2020.]
Section
422.4023
"Pharmacy benefit manager" defined. [Effective January 1, 2020.]
Section
422.4024
"Sickle cell disease and its variants" defined.
Section
422.4025
List of preferred prescription drugs used for Medicaid program; list of drugs excluded from restrictions; role of Pharmacy and Therapeutics Committee; availability of new pharmaceutical products and products for which there is new evidence. [Effective through December 31, 2019.]
Section
422.4025
List of preferred prescription drugs used for Medicaid program and Children’s Health Insurance Program; list of drugs excluded from restrictions; role of Pharmacy and Therapeutics Committee; availability of new pharmaceutical products and products for which there is new evidence. [Effective January 1, 2020.]
Section
422.4026
Coverage of certain supplements for treating sickle cell disease and its variants. [Effective through December 31, 2019.]
Section
422.4026
Coverage of certain supplements for treating sickle cell disease and its variants. [Effective January 1, 2020.]
Section
422.4035
Pharmacy and Therapeutics Committee: Creation; membership. [Effective through December 31, 2019.]
Section
422.4035
Silver State Scripts Board: Creation; membership. [Effective January 1, 2020.]
Section
422.4045
Pharmacy and Therapeutics Committee: Members serve without compensation; members entitled to per diem; members holding public office or employed by governmental entity. [Effective through December 31, 2019.]
Section
422.4045
Silver State Scripts Board: Members serve without compensation; members entitled to per diem; members holding public office or employed by governmental entity. [Effective January 1, 2020.]
Section
422.4053
Department to manage payments and rebates for prescription drugs; contract for provision of certain services. [Effective January 1, 2020.]
Section
422.4056
Audits of certain contracts. [Effective January 1, 2020.]
Section
422.27172
State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to family planning.
Section
422.27174
State Plan for Medicaid: Inclusion of requirement for payment of certain costs for preventative care.
Section
422.27176
State Plan for Medicaid: Inclusion of requirement for payment of certain costs for mammogram.
Section
422.27178
State Plan for Medicaid: Inclusion of requirement for payment of certain costs for breastfeeding supplies and prenatal screenings and tests.
Section
422.27234
State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to sickle cell disease and its variants.
Section
422.27238
State Plan for Medicaid: Reimbursement for crisis stabilization services. [Effective January 1, 2020.]
Section
422.27239
State Plan for Medicaid: Reimbursement for services of psychological assistant, psychological intern or psychological trainee.
Section
422.27241
State Plan for Medicaid: Reimbursement for services for hospice care provided to persons eligible for Medicaid.
Section
422.27242
State Plan for Medicaid and Children’s Health Insurance Program: Inclusion of authorization for enrollment of certain children.
Section
422.27243
Program to provide medical assistance to certain persons who are employed and have disabilities.
Section
422.27247
Application for federal waiver to provide certain dental care for certain persons.
Section
422.27482
Report concerning provision of health benefits by large employers.
Section
422.27485
Enrollment of eligible Indian children in Children’s Health Insurance Program: Duty of Department to seek assistance of and cooperate with Indian tribes; immediate action required; certain contracts for provision of services required.
Section
422.27495
Contracts for provision of certain transportation services for recipients of Medicaid and recipients of services pursuant to Children’s Health Insurance Program.
Section
422.29301
Administration of provisions concerning recovery of amounts incorrectly paid for recipient of Medicaid.
Section
422.29302
Recovery of benefits paid for Medicaid: Powers and duties of Department; claim against estate of recipient; regulations; distribution of money recovered; payment in cash.
Section
422.29304
Recovery of amounts paid for Medicaid under certain circumstances; powers and duties of Department; duty to reimburse Department; waiver of repayment.
Section
422.29306
Imposition and release of lien on property of recipient of Medicaid.
Section
422.37915
"Account" defined.
Section
422.37925
"Medical facility" defined.
Section
422.37935
"Operator group" defined.
Section
422.37945
Creation of Account; separate accounting; use of money in Account.
Section
422.293001
Subrogation: Notice to Department of recipient’s claim; statute of limitations tolled until notice received.
Section
422.293003
Subrogation: Department required to provide notice of amount of lien; enforceability of lien.
Section
422.293005
Subrogation: Liability for failure to comply with provisions.