Nevada Code § 422.27005

Delegation of certain authority concerning Medicaid and Childrens Health Insurance Program; requirements; entity with delegated authority to comply with requirements of chapter; intergovernmental agreement required for delegation to local governmental agency; requirements of intergovernmental agreement
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1. The Authority may delegate to another
state, local or tribal governmental agency the responsibility for making
determinations concerning eligibility for Medicaid or the Childrens Health
Insurance Program or conducting hearings under this chapter. If the Authority
makes such a delegation, the Authority shall:
(a) Ensure compliance with the provisions of 42
C.F.R. 431.10; and
(b) Submit a biennial report to the Governor and
the Director of the Legislative Counsel Bureau for transmittal to the
Legislative Commission which includes:
(1) The state, local or tribal
governmental agencies to which the Authority has delegated functions;
(2) The functions delegated to each state,
local or tribal governmental agency described in subparagraph (1);
(3) Information concerning the performance
of each state, local or tribal governmental agency to which the Authority has
delegated a function; and
(4) A description of any corrective action
required of a state, local or tribal governmental agency to which the Authority
has delegated a function.
2. Any entity to which the Authority
delegates a responsibility pursuant to subsection 1 shall comply with the
relevant provisions of this chapter to the same extent as the Authority.
3. Any delegation to a local governmental
agency pursuant to subsection 1 must be made through an intergovernmental
agreement between the Authority and the local governmental agency. Such an
agreement must be signed by a natural person acting as the agent of the local
governmental agency who has the legal authority to bind the local governmental
agency to the agreement.
4. If an intergovernmental agreement
entered into pursuant to subsection 3 delegates the responsibility for making
determinations concerning eligibility for Medicaid or the Childrens Health
Insurance Program, the agreement must include, without limitation, measures to
ensure compliance with applicable federal and state requirements for making
such determinations of eligibility.
5. The Authority may seek any state or
federal funding available to provide reimbursements to an entity to which the
Authority has delegated functions pursuant to this section if the Authority has
entered into an agreement with the entity that entitles the Authority to
sufficient information to conduct regular audits of the delegated activities to
ensure compliance with relevant state and federal requirements and the
efficient use of funds. An entity to which functions are delegated pursuant to
this section shall not use state or federal money to fund activities under a
contract with a separate entity without written approval from the Director.

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