There is a newer version of the Nevada Revised Statutes
2010 Nevada Code
TITLE 57 INSURANCE
Chapter 695C Health Maintenance Organizations
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GENERAL PROVISIONS
- NRS 695C.010 Short title.
- NRS 695C.020 Legislative declaration.
- NRS 695C.030 Definitions.
- NRS 695C.050 Applicability of certain provisions.
- NRS 695C.055 Applicability of certain other provisions.
- NRS 695C.057 Applicability of certain provisions concerning portability and availability of health insurance.
- NRS 695C.060 Establishment of organization.
- NRS 695C.070 Certificate of authority: Application.
- NRS 695C.080 Certificate of authority: Evaluation of application.
- NRS 695C.090 Certificate of authority: Issuance.
- NRS 695C.100 Certificate of authority: Denial.
- NRS 695C.110 Governing body: Composition; participation by enrollees.
- NRS 695C.120 Powers of organization.
- NRS 695C.123 Contracts with certain federally qualified health centers.
- NRS 695C.125 Contract between health maintenance organization and provider of health care: Form to obtain information on provider of health care; modification; provision of schedule of fees.
- NRS 695C.128 Contracts to provide services pursuant to certain state programs: Payment of interest on claims.
- NRS 695C.130 Notice and approval required for exercise of powers; rules or regulations.
- NRS 695C.140 Notice and approval required for modification of operations; regulations.
- NRS 695C.145 Accounting principles required for certain reports and transactions; health maintenance organization subject to requirements for certain insurers.
- NRS 695C.150 Fiduciary responsibilities.
- NRS 695C.160 Investments. ELIGIBILITY FOR COVERAGE
- NRS 695C.161 Eligibility for coverage: Definitions.
- NRS 695C.163 Eligibility for coverage: Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
- NRS 695C.165 Eligibility for coverage: Organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is enrolled in health care plan.
- NRS 695C.167 Eligibility for coverage: Certain accommodations to be made when child is covered under health care plan of noncustodial parent.
- NRS 695C.169 Eligibility for coverage: Organization to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child. COVERAGE GENERALLY
- NRS 695C.1691 Required provision concerning coverage for continued medical care.
- NRS 695C.1693 Required provision concerning coverage for treatment received as part of clinical trial or study.
- NRS 695C.1694 Required provision concerning coverage of drug or device for contraception and of hormone replacement therapy in certain circumstances; prohibited actions by health maintenance organization; exceptions.
- NRS 695C.1695 Required provision concerning coverage of health care services related to contraceptives and hormone replacement therapy in certain circumstances; prohibited actions by health maintenance organization; exceptions.
- NRS 695C.170 Evidence of coverage: Issuance; form and contents.
- NRS 695C.1703 Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
- NRS 695C.1705 Group health care plan issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer.
- NRS 695C.1707 Required provision for continuation of coverage.
- NRS 695C.1709 Required provision concerning coverage for enrollee on leave without pay as result of total disability.
- NRS 695C.171 Required provision concerning coverage relating to mastectomy.
- NRS 695C.1713 Required provision concerning coverage of certain gynecological and obstetrical services without authorization or referral from primary care physician.
- NRS 695C.1717 Required provision concerning coverage for autism spectrum disorders. [Effective January 1, 2011.]
- NRS 695C.172 Required provision concerning coverage relating to complications of pregnancy.
- NRS 695C.1723 Required provision concerning coverage for treatment of certain inherited metabolic diseases.
- NRS 695C.1727 Required provision concerning coverage for management and treatment of diabetes.
- NRS 695C.173 Required provision concerning coverage for newly born and adopted children and children placed for adoption.
- NRS 695C.1731 Required provision concerning coverage for screening for colorectal cancer.
- NRS 695C.1733 Required provision concerning coverage for certain drugs for treatment of cancer.
- NRS 695C.1734 Required provision concerning coverage for prescription drug previously approved for medical condition of enrollee.
- NRS 695C.1735 Required provision concerning coverage for cytologic screening tests and mammograms for certain women.
- NRS 695C.1738 Required provision concerning coverage for treatment of conditions relating to severe mental illness. [Repealed.]
- NRS 695C.174 Required provision concerning benefits for treatment of abuse of alcohol or drugs. [Repealed.]
- NRS 695C.1745 Required provision concerning coverage for human papillomavirus vaccine.
- NRS 695C.1751 Required provision concerning coverage for prostate cancer screening.
- NRS 695C.1755 Required provision concerning coverage for treatment of temporomandibular joint.
- NRS 695C.176 Required provision concerning coverage for hospice care. REIMBURSEMENT
- NRS 695C.1765 Reimbursement for acupuncture.
- NRS 695C.177 Reimbursement for treatments by licensed psychologist.
- NRS 695C.1773 Reimbursement for treatment by licensed marriage and family therapist or licensed clinical professional counselor.
- NRS 695C.1775 Reimbursement for treatment by licensed associate in social work, social worker, independent social worker or clinical social worker.
- NRS 695C.178 Reimbursement for treatment by chiropractor.
- NRS 695C.1783 Reimbursement for treatment by podiatrist.
- NRS 695C.1789 Reimbursement for treatment by licensed clinical alcohol and drug abuse counselor.
- NRS 695C.179 Reimbursement for services provided by certain nurses; prohibited limitations; exceptions.
- NRS 695C.1795 Reimbursement to provider of medical transportation. MISCELLANEOUS PROVISIONS
- NRS 695C.180 Schedule of charges.
- NRS 695C.185 Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney's fees; compliance with requirements.
- NRS 695C.187 Schedule for payment of claims: Mandatory inclusion in arrangements for provision of health care.
- NRS 695C.190 Commissioner may require submission of information.
- NRS 695C.193 Summary of coverage: Contents of disclosure; approval by Commissioner; regulations.
- NRS 695C.195 Summary of coverage: Copy to be provided before policy issued; policy not to be offered unless summary approved by Commissioner.
- NRS 695C.200 Approval of forms and schedules.
- NRS 695C.201 Offering policy of health insurance for purposes of establishing health savings account.
- NRS 695C.203 Denying coverage solely because person was victim of domestic violence prohibited.
- NRS 695C.205 Denying coverage solely because insured was intoxicated or under the influence of controlled substance prohibited; exceptions.
- NRS 695C.207 Requiring or using information concerning genetic testing.
- NRS 695C.210 Annual report and financial statement required; administrative penalty for failure to file report or statement.
- NRS 695C.220 Applications, filings and reports open to public inspection.
- NRS 695C.230 Fees.
- NRS 695C.240 Information required to be available for inspection.
- NRS 695C.250 Open enrollment.
- NRS 695C.260 Complaint system.
- NRS 695C.265 Required procedure for arbitration of disputes concerning independent medical evaluations.
- NRS 695C.267 Provision requiring binding arbitration authorized; procedures for arbitration; declaratory relief.
- NRS 695C.270 Bond required; waiver.
- NRS 695C.275 Commissioner to adopt regulations for licensing of provider-sponsored organizations.
- NRS 695C.280 Commissioner authorized to adopt regulations for licensing of agents or brokers.
- NRS 695C.290 Insurance company may establish or contract with health maintenance organization.
- NRS 695C.300 Prohibited practices.
- NRS 695C.310 Examinations.
- NRS 695C.311 Periodic examination by Commissioner to determine financial condition of health maintenance organization.
- NRS 695C.313 Financial examination: Procedure; appointment of examiner; maintenance and use of records; penalty for obstruction or interference.
- NRS 695C.315 Financial examination: Payment of expense.
- NRS 695C.317 Statutory procedures required for examination and hearing.
- NRS 695C.320 Rehabilitation, liquidation or conservation.
- NRS 695C.325 Authorization to offer health care plan to small employer for purpose of establishing medical savings accounts.
- NRS 695C.330 Disciplinary proceedings: Grounds; effect of suspension or revocation.
- NRS 695C.340 Disciplinary proceedings: Notice; hearing; judicial review.
- NRS 695C.350 Violations: Remedies; penalties.
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