2014 Nevada Revised Statutes
Chapter 689C - Health Insurance for Small Employers
NRS 689C.327 - Carrier that offers network plan: Contracts with certain federally qualified health centers. [Effective through December 31, 2013.]
1. A carrier that offers a network plan shall use its best efforts to contract with at least one health center in each established geographic service area to provide health care as a member of the carrier s defined set of providers under the network plan if the health center:
(a) Meets all conditions imposed by the carrier on similarly situated providers of health care that are members of the carrier s defined set of providers, including, without limitation:
(1) Certification for participation in the Medicaid or Medicare program; and
(2) Requirements relating to the appropriate credentials for providers of health care; and
(b) Agrees to reasonable reimbursement rates that are generally consistent with those offered by the carrier to similarly situated providers of health care that are members of the carrier s defined set of providers.
2. As used in this section, health center has the meaning ascribed to it in 42 U.S.C. 254b.
(Added to NRS by 2001, 1923; R 2013, 3661, effective January 1, 2014)
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