reglab/statecodes huggingface dataset:
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27171 - State Plan for Medicaid: Inclusion of authorization for pregnant women determined to be presumptively eligible for Medicaid to enroll in Medicaid for prescribed period without submitting application for enrollment which includes additional proof of eligibility; inclusion of authorization for pregnant women with certain household incomes to enroll in Medicaid; prohibition against inclusion of residency period requirement for enrollment in Medicaid by certain pregnant women.

1. The Director shall, to the extent authorized by federal law, include in the State Plan for Medicaid authorization for a pregnant woman who is determined by a qualified provider to be presumptively eligible for Medicaid to enroll in Medicaid until the last day of the month immediately following the month of enrollment without submitting an application for enrollment in Medicaid which includes additional proof of eligibility.
2. To the extent that money is available, the Director shall, to the extent authorized by federal law, include in the State Plan for Medicaid authorization for a pregnant woman whose household income is at or below 200 percent of the federally designated level signifying poverty to enroll in Medicaid.
3. Unless otherwise required by federal law, the Director shall not include in the State Plan for Medicaid a requirement that a pregnant woman who resides in this State and who is otherwise eligible for Medicaid must reside in the United States for a prescribed period of time before enrolling in Medicaid.
4. As used in this section, "qualified provider" has the meaning ascribed to it in 42 U.S.C. § 1396r-1(b)(2).
(Added to NRS by 2021, 2565, 3635)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27173 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for testing for and treatment and prevention of sexually transmitted diseases and condoms.

The Director shall include in the State Plan for Medicaid a requirement that the State must pay the nonfederal share of expenditures incurred for:
1. Testing for and the treatment and prevention of sexually transmitted diseases, including, without limitation,
Chlamydia trachomatis
, gonorrhea, syphilis, human immunodeficiency virus and hepatitis B and C, for all recipients of Medicaid, regardless of age. Services covered pursuant to this section must include, without limitation, the examination of a pregnant woman for the discovery of:
(a)
Chlamydia trachomatis
, gonorrhea, hepatitis B and hepatitis C in accordance with NRS 442.013.
(b) Syphilis in accordance with NRS 442.010.
2. Condoms for recipients of Medicaid.
(Added to NRS by 2021, 2577; A 2023, 3498)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27174 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for preventative care.

1. The Director shall include in the State Plan for Medicaid a requirement that the State pay the nonfederal share of expenditures incurred for:
(a) Counseling and support for breastfeeding;
(b) Screening and counseling for interpersonal and domestic violence;
(c) Counseling for sexually transmitted diseases;
(d) Screening for blood pressure abnormalities and diabetes, including gestational diabetes;
(e) An annual screening for cervical cancer;
(f) Screening for depression;
(g) Screening and counseling for the human immunodeficiency virus;
(h) Smoking cessation programs;
(i) All vaccinations recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention of the United States Department of Health and Human Services or its successor organization; and
(j) Such well-woman preventative visits as recommended by the Health Resources and Services Administration.
2. To obtain any benefit provided in the Plan pursuant to subsection 1, a recipient of Medicaid must not be required to:
(a) Pay a higher deductible, any copayment or coinsurance; or
(b) Be subject to a longer waiting period or any other condition.
(Added to NRS by 2017, 1801)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27175 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for screening, genetic counseling and testing for harmful mutations in the BRCA gene for women.

The Director shall include in the State Plan for Medicaid a requirement that the State, to the extent authorized by federal law, must pay the nonfederal share of expenditures incurred for screening, genetic counseling and testing for harmful mutations in the BRCA gene for women under circumstances where such screening, genetic counseling or testing, as applicable, is required by NRS 457.301.
(Added to NRS by 2021, 775)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27176 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for mammogram.

The Director shall include in the State Plan for Medicaid a requirement that the State pay the nonfederal share of expenditures incurred for a mammogram.
(Added to NRS by 2017, 1801)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27177 - State Plan for Medicaid: Inclusion of coverage for doula services provided by enrolled doula; application for waiver or amendment related to doula services; requirements for enrollment as doula; program to provide incentive payments for enrolled doulas.

1. The Director shall, to the extent authorized by federal law, include under Medicaid coverage for doula services provided by an enrolled doula.
2. The Department shall apply to the Secretary of Health and Human Services for a waiver granted pursuant to 42 U.S.C. § 1315 or apply for an amendment of the State Plan for Medicaid that authorizes the Department to receive federal funding to provide coverage of doula services provided by an enrolled doula. The Department shall fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the Federal Government for obtaining a waiver or amendment pursuant to this section.
3. A person who wishes to receive reimbursement through the Medicaid program for doula services provided to a recipient of Medicaid must submit to the Division:
(a) An application for enrollment in the form prescribed by the Division; and
(b) Proof that he or she possesses the required training and qualifications prescribed by the Division pursuant to subsection 4.
4. The Division, in consultation with community-based organizations that provide services to pregnant women in this State, shall prescribe the required training and qualifications for enrollment pursuant to subsection 3 to receive reimbursement through Medicaid for doula services.
5. The Department may establish a program to provide incentive payments for enrolled doulas who provide doula services to recipients of Medicaid in rural areas of this State.
6. As used in this section:
(a) "Doula services" means services to provide education and support relating to childbirth, including, without limitation, emotional and physical support provided during pregnancy, labor, birth and the postpartum period.
(b) "Enrolled doula" means a doula who is enrolled with the Division pursuant to this section to receive reimbursement through Medicaid for doula services.
(Added to NRS by 2021, 2620, 3636; A 2023, 2928)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.271775 - State Plan for Medicaid: Inclusion of requirement for payment of costs incurred for postpartum care services.

1. The Director shall include in the State Plan for Medicaid a requirement that the State pay the nonfederal share of expenditures incurred for postpartum care services provided to a recipient of Medicaid for 12 months following the end of pregnancy.
2. As used in this section, "postpartum care services" means medical care that is consistent with current standards of care and provided to a person following the end of pregnancy, including, without limitation:
(a) The development of a plan for postpartum care;
(b) Contact with the person after the end of pregnancy as needed by the person;
(c) A comprehensive postpartum visit, including, without limitation:
(1) Screening concerning the physical, social and psychological well-being of the person; and
(2) If necessary, a referral for a full assessment of the physical, social and psychological well-being of the person and any necessary treatment;
(d) Treatment of complications of pregnancy and childbirth, including, without limitation, pelvic floor disorders and postpartum depression, and any necessary referral for the evaluation and treatment of such complications;
(e) Screening for cardiovascular disease and, if necessary, a referral for a full assessment for cardiovascular disease and any necessary treatment; and
(f) Care related to the loss of a pregnancy.
(Added to NRS by 2023, 1485)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27178 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for breastfeeding supplies and prenatal screenings and tests.

The Director may include in the State Plan for Medicaid a requirement that, to the extent money is available, the State pay the nonfederal share of expenditures incurred for:
1. Supplies for breastfeeding; and
2. Such prenatal screenings and tests as recommended by the American College of Obstetricians and Gynecologists or its successor organization.
(Added to NRS by 2017, 1801)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27179 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for breastfeeding supplies for certain period, prenatal screenings and tests and lactation consultation and support.

1. To the extent that money is available, the Director shall include in the State Plan for Medicaid a requirement that the State pay the nonfederal share of expenditures incurred for:
(a) Supplies for breastfeeding a child until the child’s first birthday. Such supplies include, without limitation, electric or hospital-grade breast pumps that:
(1) Have been prescribed or ordered by a qualified provider of health care; and
(2) Are medically necessary for the mother or the child.
(b) Such prenatal screenings and tests as are recommended by the American College of Obstetricians and Gynecologists, or its successor organization.
2. The Director shall include in the State Plan for Medicaid a requirement that, to the extent that money and federal financial participation are available, the State must pay the nonfederal share of expenditures incurred for lactation consultation and support.
3. As used in this section:
(a) "Medically necessary" has the meaning ascribed to it in NRS 695G.055.
(b) "Provider of health care" has the meaning ascribed to it in NRS 629.031.
(Added to NRS by 2021, 3637)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 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.

1. The Director shall include in the State Plan for Medicaid a requirement that the State shall pay the nonfederal share of expenses incurred for:
(a) Testing for human papillomavirus; and
(b) Administering the human papillomavirus vaccine at such ages as recommended for vaccination by a competent authority, including, without limitation, the Centers for Disease Control and Prevention of the United States Department of Health and Human Services, the Food and Drug Administration or the manufacturer of the vaccine.
2. For the purposes of this section, "human papillomavirus vaccine" means the Quadrivalent Human Papillomavirus Recombinant Vaccine or its successor which is approved by the Food and Drug Administration to be used for the prevention of human papillomavirus infection and cervical cancer.
(Added to NRS by 2007, 3243; A 2017, 1801)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.272 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for medical, administrative and transactional costs of certain persons admitted to certain medical facilities for more than 30 days.

1. The Director shall include in the State Plan for Medicaid a requirement that the State shall pay the nonfederal share of expenditures for the medical, administrative and transactional costs, to the extent not covered by private insurance, of a person:
(a) Who is admitted to a hospital, facility for intermediate care or facility for skilled nursing for not less than 30 consecutive days;
(b) Who is covered by the State Plan for Medicaid; and
(c) Whose net countable income per month is not more than a percentage prescribed annually by the Director of the supplemental security income benefit rate established pursuant to 42 U.S.C. § 1382(b)(1). The Director shall ensure that the percentage prescribed pursuant to this paragraph complies with federal law.
2. As used in this section:
(a) "Facility for intermediate care" has the meaning ascribed to it in NRS 449.0038.
(b) "Facility for skilled nursing" has the meaning ascribed to it in NRS 449.0039.
(c) "Hospital" has the meaning ascribed to it in NRS 449.012.
(Added to NRS by 1997, 2217; A 1997, 2217, 2705; 1999, 581, 590, 2242, 2754; 2001, 158; 2003, 873; 2011, 2684)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27205 - State Plan for Medicaid: Inclusion of requirement for payment of costs for certain services provided by critical access hospitals.

1. The Director shall include in the State Plan for Medicaid, to the extent that federal financial participation is available, a requirement that the State must:
(a) Pay the nonfederal share of expenditures for outpatient services and swing-bed services provided by a critical access hospital; and
(b) Reimburse a critical access hospital for the services described in paragraph (a) at a rate equal to the actual cost to the critical access hospital of providing the services or the amount charged by the critical access hospital for the services, whichever is less.
2. As used in this section:
(a) "Critical access hospital" means a public or private hospital which has been certified as a critical access hospital by the United States Secretary of Health and Human Services pursuant to 42 U.S.C. § 1395i-4(e).
(b) "Swing-bed services" means services as described in 42 C.F.R. § 482.58.
(Added to NRS by 2023, 2080)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.2722 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for services provided by community health worker.

1. The Director shall include in the State Plan for Medicaid a requirement that the State, to the extent authorized by federal law, pay the nonfederal share of expenditures incurred for the services of a community health worker who provides services under the supervision of a physician, physician assistant or advanced practice registered nurse.
2. The Director may include in the State Plan for Medicaid a requirement that the State, to the extent authorized by federal law, pay the nonfederal share of expenditures incurred for the services of community health workers who provide services under the supervision of specified types of providers of health care, other than those described in subsection 1.
3. As used in this section:
(a) "Community health worker" has the meaning ascribed to it in NRS 449.0027.
(b) "Provider of health care" has the meaning ascribed to it in NRS 629.031.
(Added to NRS by 2021, 2568, 3636; A 2023, 223)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.2723 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to dialysis and emergency care to treat kidney failure.

1. The Director shall include in the State Plan for Medicaid a requirement that the State shall pay the nonfederal share of expenses incurred in the administration of dialysis that is provided to stabilize a patient with kidney failure and further emergency care necessary for the treatment of such kidney failure.
2. For the purposes of this section, "dialysis" means the method by which a dissolved substance is removed from the body of a patient by diffusion, osmosis and convection from one fluid compartment to another fluid compartment across a semipermeable membrane.
(Added to NRS by 2013, 2265)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27234 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to sickle cell disease and its variants.

1. The Director shall include in the State Plan for Medicaid a requirement that the State pay the nonfederal share of expenditures incurred for:
(a) Necessary case management services for a participant in Medicaid who has been diagnosed with sickle cell disease and its variants.
(b) Medically necessary care for a participant in Medicaid who has been diagnosed with sickle cell disease and its variants including, without limitation, visits to specialists for evaluation, counseling, treatment for mental illness and education as needed.
(c) Services necessary to transition a recipient of Medicaid who is less than 18 years of age and has been diagnosed with sickle cell disease and its variants from pediatric care to adult care when the recipient reaches 18 years of age.
(d) Unlimited refills of each prescription drug for the treatment of sickle cell disease and its variants included on the list of preferred prescription drugs developed for the Medicaid program pursuant to NRS 422.4025.
(e) Each supplement included in the list of supplements prescribed pursuant to NRS 422.4026, including, without limitation, unlimited amounts of each such supplement.
2. As used in this section:
(a) "Case management services" means medical or other health care management services to assist patients and providers of health care, including, without limitation, identifying and facilitating additional resources and treatments, providing information about treatment options and facilitating communication between providers of services to a patient.
(b) "Sickle cell disease and its variants" has the meaning ascribed to it in NRS 439.4927.
(Added to NRS by 2019, 2166)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27235 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to testing for, preventing or treating human immunodeficiency virus or hepatitis C.

1. The Director shall include in the State Plan for Medicaid a requirement that the State pay the nonfederal share of expenditures incurred for:
(a) Any laboratory testing that is necessary for therapy that uses a drug approved by the United States Food and Drug Administration for preventing the acquisition of human immunodeficiency virus.
(b) The services of a pharmacist described in NRS 639.28085. The State must provide reimbursement for such services at a rate equal to the rate of reimbursement provided to a physician, physician assistant or advanced practice registered nurse for similar services.
(c) Any service to test for, prevent or treat human immunodeficiency virus or hepatitis C provided by a provider of primary care if the service is covered when provided by a specialist and:
(1) The service is within the scope of practice of the provider of primary care; or
(2) The provider of primary care is capable of providing the service safely and effectively in consultation with a specialist and the provider engages in such consultation.
2. The Director shall include in the State Plan for Medicaid a requirement that the State reimburse an advanced practice registered nurse or a physician assistant for any service to test for, prevent or treat human immunodeficiency virus or hepatitis C at a rate equal to the rate of reimbursement provided to a physician for similar services.
3. As used in this section, "primary care" means the practice of family medicine, pediatrics, internal medicine, obstetrics and gynecology and midwifery.
(Added to NRS by 2021, 3204; A 2023, 3498)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27236 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for cognitive assessment and care planning services for persons who experience signs or symptoms of cognitive impairment.

1. The Director shall include in the State Plan for Medicaid a requirement that the State pay the nonfederal share of expenditures incurred for cognitive assessment and care planning services provided to a person who experiences signs or symptoms of cognitive impairment.
2. As used in this section "cognitive impairment" means a deficiency in:
(a) Short-term or long-term memory;
(b) Orientation as to person, place and time; or
(c) Deductive or abstract reasoning.
The term does not include any condition with temporary or reversible effects.
(Added to NRS by 2021, 2588)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.272366 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for behavioral health services. [Effective July 1, 2024.]

1. The Director shall include in the State Plan for Medicaid a requirement that the State must pay the nonfederal share of expenditures incurred for behavioral health services, including, without limitation, mental health services and services for the treatment of a substance use disorder, that are delivered through evidence-based, behavioral health integration models, including, without limitation, collaborative care management services.
2. As used in this section:
(a) "Behavioral health integration model" means a model of delivering behavioral health services that integrates such services with primary care. The term includes, without limitation, the delivery of behavioral health services using collaborative care management services.
(b) "Collaborative care management services" means a combination of services and structured care management with regular assessments directed and provided by a team of providers of primary care and providers of behavioral health care.
(Added to NRS by 2023, 2297, effective July 1, 2024)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.272368 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for treatment of substance use disorder provided by provider of primary care.

1. The Director shall include in the State Plan for Medicaid a requirement that the State pay the nonfederal share of expenses for any service for the treatment of substance use disorder provided by a provider of primary care if the service is included in the State Plan when provided by a specialist and:
(a) The service is within the scope of practice of the provider of primary care; or
(b) The provider of primary care is capable of providing the service safely and effectively in consultation with a specialist and the provider engages in such consultation.
2. As used in this section, "primary care" means the practice of family medicine, pediatrics, internal medicine, obstetrics and gynecology and midwifery.
(Added to NRS by 2023, 3497)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27237 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for services of pharmacist; rate of reimbursement.

1. The Director shall include in the State Plan for Medicaid a requirement that the State pay the nonfederal share of expenditures incurred for the services of a pharmacist described in NRS 639.28079.
2. The State must provide reimbursement for the services of a pharmacist described in NRS 639.28079 at a rate equal to the rate of reimbursement provided to a physician, physician assistant or advanced practice registered nurse for similar services.
(Added to NRS by 2023, 2365)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27238 - State Plan for Medicaid: Reimbursement for crisis stabilization services.

The Department shall take any action necessary to ensure that crisis stabilization services provided at a hospital with an endorsement as a crisis stabilization center pursuant to NRS 449.0915 are reimbursable under Medicaid to the same extent as if the services were provided in another covered facility.
(Added to NRS by 2019, 1923; A 2021, 240)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27239 - State Plan for Medicaid: Reimbursement of supervising psychologist for services of psychological assistant, psychological intern or psychological trainee.

1. The Department, through the Division, may reimburse, under the State Plan for Medicaid and to the extent authorized by the Federal Government, any psychologist licensed pursuant to chapter 641 of NRS who supervises a psychological assistant, psychological intern or psychological trainee for such services rendered under the authorized scope of practice of the psychological assistant, psychological intern or psychological trainee to persons eligible to receive that assistance if another provider of health care would be reimbursed for providing those same services.
2. As used in this section:
(a) "Psychological assistant" has the meaning ascribed to it in NRS 641.0263.
(b) "Psychological intern" has the meaning ascribed to it in NRS 641.0265.
(c) "Psychological trainee" has the meaning ascribed to it in NRS 641.0267.
(Added to NRS by 2017, 2517)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.2724 - State Plan for Medicaid: Reimbursement of registered nurse for certain services provided to persons eligible for Medicaid.

The Department, through the Division, may reimburse directly, under the State Plan for Medicaid, any registered nurse who is authorized pursuant to chapter 632 of NRS to perform additional acts in an emergency or under other special conditions as prescribed by the State Board of Nursing, for such services rendered under the authorized scope of the registered nurse’s practice to persons eligible to receive that assistance if another provider of health care would be reimbursed for providing those same services.
(Added to NRS by 1985, 1655; A 1993, 2064; 1997, 1239, 2624; 1999, 2242; 2005, 22nd Special Session, 31)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.272405 - State Plan for Medicaid: Reimbursement for services provided by advanced practice registered nurse to certain recipients.

1. To the extent that money is available, the Director shall include in the State Plan for Medicaid a requirement that, except as otherwise provided in subsection 2, the State must provide reimbursement for the services of an advanced practice registered nurse, including, without limitation, a certified nurse-midwife, to the same extent as if the services were provided by a physician.
2. The provisions of subsection 1 do not apply to services provided to a recipient of Medicaid who receives health care services through a Medicaid managed care program.
3. As used in this section, "certified nurse-midwife" means a person who is:
(a) Certified as a nurse-midwife by the American Midwifery Certification Board, or its successor organization; and
(b) Licensed as an advanced practice registered nurse pursuant to NRS 632.237.
(Added to NRS by 2021, 3637)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.272407 - State Plan for Medicaid: Reimbursement of recipients for personal care services.

1. To the extent authorized by federal law, the Director shall include in the State Plan for Medicaid authorization for a recipient of Medicaid to be deemed a provider of services for the purposes of allowing the recipient to receive reimbursements for personal care services covered by Medicaid and use that money to pay for services provided by a personal care assistant acting pursuant to NRS 629.091 or an agency to provide personal care services in the home using a self-directed model.
2. As used in this section:
(a) "Agency to provide personal care services in the home" has the meaning ascribed to it in NRS 449.0021.
(b) "Personal care services" means the services described in NRS 449.1935.
(Added to NRS by 2021, 1290)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27241 - State Plan for Medicaid: Reimbursement for services for hospice care provided to persons eligible for Medicaid.

1. Except as otherwise provided in subsection 2, the Department, through the Division, shall pay, under the State Plan for Medicaid:
(a) A facility for hospice care licensed pursuant to chapter 449 of NRS for the services for hospice care, including room and board, provided by that facility to a person who is eligible to receive Medicaid.
(b) A program for hospice care licensed pursuant to chapter 449 of NRS for the services for hospice care provided by that program to a person who is eligible to receive Medicaid.
2. The Department, through the Division, is required to pay, under the State Plan for Medicaid, for the services for hospice care provided by a facility or program described in subsection 1 only to the extent that the Federal Government provides matching federal money under Medicaid for the services for hospice care.
3. As used in this section:
(a) "Facility for hospice care" has the meaning ascribed to it in NRS 449.0033.
(b) "Hospice care" has the meaning ascribed to it in NRS 449.0115.
(Added to NRS by 1997, 1718; A 1999, 247, 469, 470; 2001, 161; 2005, 486; 2005, 22nd Special Session, 31)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27242 - State Plan for Medicaid and Children’s Health Insurance Program: Inclusion of authorization for enrollment of certain children; authority to reduce or eliminate available benefits.

1. Except as otherwise provided in subsection 2, the Director shall:
(a) To the extent authorized by federal law, include in the State Plan for Medicaid and in the Children’s Health Insurance Program authorization for a child less than 19 years of age who is described in 42 U.S.C. § 1396b(v)(4)(A)(ii) to enroll in Medicaid and the Children’s Health Insurance Program; and
(b) Take any action necessary to comply with the requirements of the Centers for Medicare and Medicaid Services and any other applicable federal law to carry out the requirements of paragraph (a).
2. The Director may reduce or eliminate any benefits available pursuant to subsection 1 if:
(a) The provision of such benefits is no longer authorized by federal law; or
(b) The federal medical assistance percentage calculated pursuant to 42 U.S.C. § 1396d(b) is significantly reduced below the percentage existing on July 1, 2017.
(Added to NRS by 2017, 4311)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.272422 - Medicaid: Inclusion of coverage for certain dental care; application for waiver or amendment.

1. To the extent that federal financial participation is available, the Director shall include under Medicaid coverage for:
(a) The filling of cavities;
(b) The fabrication, preparation and placement of temporary and permanent crowns; and
(c) Removable dentures to improve chewing, phonetics and aesthetics.
2. The Department shall:
(a) Apply to the Secretary of Health and Human Services for any waiver of federal law or apply for any amendment of the State Plan for Medicaid that is necessary for the Department to receive federal funding to provide the coverage described in subsection 1.
(b) Fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the Federal Government for obtaining a waiver or amendment pursuant to paragraph (a).
(Added to NRS by 2023, 3447)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.272424 - Medicaid: Inclusion of coverage for polycarbonate lenses; application for waiver or amendment.

1. To the extent that federal financial participation is available, the Director shall include under Medicaid coverage for polycarbonate lenses. Medicaid must not require, as a condition precedent to such coverage:
(a) A provider of health care to provide documentation concerning the reasons for using a polycarbonate lens instead of another type of lens; or
(b) The recipient of Medicaid to try another type of lens.
2. The Department shall:
(a) Apply to the Secretary of Health and Human Services for any waiver of federal law or apply for any amendment of the State Plan for Medicaid that is necessary for the Department to receive federal funding to provide the coverage described in subsection 1.
(b) Fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the Federal Government for obtaining a waiver or amendment pursuant to paragraph (a).
(Added to NRS by 2023, 3447)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27243 - Program to provide medical assistance to certain persons who are employed and have disabilities.

1. Upon approval of the Interim Finance Committee, the Director, through the Division, shall establish a program for the provision of medical assistance to certain persons who are employed and have disabilities. The Director shall establish the program by:
(a) Amending the State Plan for Medicaid in the manner set forth in 42 U.S.C. § 1396a(a)(10)(A)(ii)(XIII);
(b) Amending the State Plan for Medicaid in the manner set forth in 42 U.S.C. § 1396a(a)(10)(A)(ii)(XV); or
(c) Obtaining a Medicaid waiver from the Federal Government to carry out the program.
2. The Director may require a person participating in a program established pursuant to subsection 1 to pay a premium or other cost-sharing charges in a manner that is consistent with federal law.
(Added to NRS by 2001, 2371; A 2005, 22nd Special Session, 27)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27247 - Application for federal waiver to provide certain dental care for certain persons.

1. The Department shall apply to the Secretary of Health and Human Services for a waiver granted pursuant to 42 U.S.C. § 1315 to authorize the Department to provide the dental care described in this section for persons with diabetes who are at least 21 years of age. To the extent authorized by the waiver and in accordance with any requirements of the waiver, including, without limitation, requirements concerning fiscal neutrality, such dental care must consist of an initial oral evaluation and, if that evaluation determines, in accordance with the criteria for periodontal disease prescribed by the American Academy of Periodontology or its successor organization, that:
(a) The person does not have periodontal disease:
(1) Dental prophylaxis for adults, an oral evaluation, the tracking and monitoring of glycosylated hemoglobin and notification of the person and his or her primary care provider, if any, concerning abnormal results once every 180 days;
(2) A comprehensive periodontal evaluation annually; and
(3) Filling of cavities, as necessary.
(b) The person has periodontal disease:
(1) Up to four quadrants of periodontal scaling and root planing every 36 months or, if periodontal scaling and root planing are determined to be unnecessary in accordance with the guidelines prescribed by the American Dental Association or its successor organization, dental prophylaxis for adults every 180 days;
(2) One periodontal maintenance procedure every 91 days;
(3) Tracking and monitoring of glycosylated hemoglobin and notification of the person and his or her primary care provider, if any, concerning abnormal results every 90 days; and
(4) Filling of cavities, as necessary.
2. The Director shall collaborate with the Division of Public and Behavioral Health of the Department when carrying out the provisions of this section.
3. As used in this section, "dental prophylaxis" means the use of dental tools and polishing procedures to remove plaque, tartar and stains from the portion of the tooth that extends above the gum line
(Added to NRS by 2019, 2417)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27248 - Application for federal waiver authorizing Department to receive federal funding for coverage for certain treatment for person in institution for mental diseases.

1. The Department shall apply to the Secretary of Health and Human Services for a waiver granted pursuant to 42 U.S.C. § 1315 that authorizes the Department to receive federal funding to provide coverage under Medicaid for the treatment of the substance use disorder of a person who is in an institution for mental diseases.
2. The Department may apply to the Secretary of Health and Human Services for a waiver granted pursuant to 42 U.S.C. § 1315 that authorizes the Department to receive federal funding to provide coverage under Medicaid for the treatment of an adult with a serious mental illness or a child with a serious emotional disturbance in an institution for mental diseases.
3. The Department shall cooperate with the Federal Government in obtaining:
(a) A waiver pursuant to subsection 1; and
(b) Any waiver for which the Department applies pursuant to subsection 2.
4. As used in this section:
(a) "Adult with a serious mental illness" means a person who is at least 18 years of age and has been diagnosed within the immediately preceding 12 months as having a mental, behavioral or emotional disorder as defined in the most recent version of the
Diagnostic and Statistical Manual of Mental Disorders
published by the American Psychiatric Association, other than an addictive disorder, intellectual or developmental disability, irreversible dementia or a substance use disorder, which interferes with or limits one or more major life activities of the person.
(b) "Child with a serious emotional disturbance" means a person who is less than 18 years of age and has been diagnosed within the immediately preceding 12 months as having a mental, behavioral or emotional disorder as defined in the most recent version of the
Diagnostic and Statistical Manual of Mental Disorders
published by the American Psychiatric Association, other than a disorder designated as a Code V disorder in the
Manual
, a developmental disability or a substance use disorder, which substantially interferes with or limits the person from developing social, behavioral, cognitive, communicative or adaptive skills or his or her activities relating to family, school or community. The term does not include a person with a disorder which is temporary or is an expected response to a stressful event.
(c) "Developmental disability" has the meaning ascribed to it in NRS 435.007.
(d) "Institution for mental diseases" has the meaning ascribed to it in 42 U.S.C. § 1396d(i).
(e) "Intellectual disability" has the meaning ascribed to it in NRS 435.007.
(Added to NRS by 2021, 2837; A 2023, 2994)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27249 - Application for federal waiver to increase rates of reimbursement for rural emergency hospital services.

1. The Department may apply to the Secretary of Health and Human Services for a waiver of federal law or amendment to the State Plan for Medicaid that authorizes the Department to receive federal funding to provide increased rates of reimbursement under the State Plan for rural emergency hospital services provided by a rural emergency hospital. The Department shall fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the Federal Government for obtaining a waiver or amendment pursuant to this section.
2. As used in this section:
(a) "Rural emergency hospital" has the meaning ascribed to it in NRS 449.0178.
(b) "Rural emergency hospital services" has the meaning ascribed to it in 42 U.S.C. § 1395x(kkk).
(Added to NRS by 2023, 2938)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.2748 - Cooperation with Medicaid Fraud Control Unit.

1. The Director or a representative designated by the Director shall:
(a) Promptly comply with a request from the Unit for access to and free copies of any records or other information in the possession of the Department regarding a provider; and
(b) Refer to the Unit all cases in which the Director or designated representative suspects that a provider has committed an offense pursuant to NRS 422.540 to 422.570, inclusive.
2. As used in this section:
(a) "Provider" means a person who has applied to participate or who participates in the State Plan for Medicaid as the provider of goods or services.
(b) "Unit" means the Medicaid Fraud Control Unit established in the Office of the Attorney General pursuant to NRS 228.410.
(Added to NRS by 1991, 1050; A 1997, 1238, 2620; 1999, 2242; 2003, 659)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27482 - Report concerning provision of health benefits by large employers.

1. On or before January 1 of each year, the Director shall prepare, in consultation with the Director of the Department of Business and Industry, a report which includes, without limitation:
(a) The name, street address of the office of the registered agent and the principal place of business of an employer in this State that employs 50 or more employees and whether the employer offers health benefits to its employees;
(b) The total number of persons enrolled in Medicaid who are employed on a full-time basis by such an employer;
(c) The number of persons enrolled in Medicaid who are married to or the dependent of an employee of such an employer; and
(d) The cost of providing coverage through Medicaid to the persons described in paragraphs (b) and (c).
2. The report prepared pursuant to subsection 1 must not contain any individually identifiable health information and must comply with the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, as amended.
3. The Director shall submit the report required pursuant to subsection 1 to:
(a) The Governor; and
(b) The Director of the Legislative Counsel Bureau for transmittal to the Legislature.
4. The report required pursuant to this section must not include any personally identifiable information of a person whose information is included in the report.
5. As used in this section, "individually identifiable health information" has the meaning ascribed to it in 45 C.F.R. § 160.103.
(Added to NRS by 2017, 1300)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 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.

The Department shall:
1. Seek the assistance of and cooperate with Indian tribes, tribal organizations and organizations that collaborate with Indian tribes to identify Indian children who may be eligible to enroll in the Children’s Health Insurance Program and facilitate the enrollment of such children in the Children’s Health Insurance Program;
2. Upon determining that an Indian child is eligible for the Children’s Health Insurance Program, immediately take any necessary action to enroll the child in the Children’s Health Insurance Program; and
3. Contract with the Indian Health Service and tribal clinics that provide health care services to Indians to provide health care services to Indian children who are enrolled in the Children’s Health Insurance Program.
(Added to NRS by 1999, 1426)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 422.27487 - Eligibility for and coverage under Medicaid for persons who are incarcerated and persons released from incarceration; regulations.

1. To the extent not prohibited by federal law, the Department shall:
(a) Suspend, rather than terminate, the eligibility for Medicaid of a person who is incarcerated for the amount of time authorized by regulation pursuant to subsection 2;
(b) Authorize a person who is incarcerated and was not eligible for Medicaid before being incarcerated or whose eligibility for Medicaid has been terminated to apply up to 6 months before his or her scheduled release for enrollment in Medicaid immediately upon release, except where such a person is authorized to enroll earlier pursuant to NRS 422.272428; and
(c) Reinstate or institute, as applicable, eligibility for and coverage under Medicaid for a person described in paragraph (a) or (b) as soon as possible upon his or her release from incarceration if the person otherwise meets the requirements to be eligible for Medicaid at that time.
2. The Department may adopt any regulations necessary to carry out the provisions of this section, including, without limitation, regulations that prescribe the amount of time that the eligibility for Medicaid of a person may be suspended pursuant to paragraph (a) of subsection 1 before being terminated.
(Added to NRS by 2021, 2187; A 2023, 2995)
2023 Nevada Revised Statutes › Chapter 422 - Health Care Financing and Policy › NRS 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; regulations.

1. To restrict the use or disclosure of any information concerning applicants for and recipients of public assistance or assistance pursuant to the Children’s Health Insurance Program to purposes directly connected to the administration of this chapter, and to provide safeguards therefor, under the applicable provisions of the Social Security Act, the Division shall establish and enforce reasonable regulations governing the custody, use and preservation of any records, files and communications filed with the Division.
2. If, pursuant to a specific statute or a regulation of the Division, names and addresses of, or information concerning, applicants for and recipients of assistance, including, without limitation, assistance pursuant to the Children’s Health Insurance Program, are furnished to or held by any other agency or department of government, such agency or department of government is bound by the regulations of the Division prohibiting the publication of lists and records thereof or their use for purposes not directly connected with the administration of this chapter.
3. Except for purposes directly connected with the administration of this chapter, no person may publish, disclose or use, or permit or cause to be published, disclosed or used, any confidential information pertaining to a recipient of assistance, including, without limitation, a recipient of assistance pursuant to the Children’s Health Insurance Program, under the provisions of this chapter.
[12:327:1949; 1943 NCL § 5146.12]—(NRS A 1959, 518; 1963, 906; 1991, 1052; 1993, 2694; 1997, 2624; 1999, 2227, 2242; 2005, 22nd Special Session, 30)