Nevada Code § 422.2721

State Plan for Medicaid: Inclusion of requirement for payment of certain costs for services provided through telehealth; inclusion of prohibition against certain practices related to such services
Open in Lexace · Ask the AI about this section
1. The Director shall include in the State
Plan for Medicaid:
(a) A requirement that the State shall pay for the
nonfederal share of expenses for services provided to a person through
telehealth to the same extent as though provided in person or by other means;
(b) A requirement that the State shall pay the
nonfederal share of expenses for services described in paragraph (a) in the
same amount as though provided in person or by other means:
(1) If the services:
(I) Are received at an originating
site described in 42 U.S.C. 1395m(m)(4)(C) or furnished by a
federally-qualified health center or a rural health clinic; and
(II) Except for services described
in subparagraph (2), are not provided through audio-only interaction; or
(2) For counseling or treatment relating
to a mental health condition or a substance use disorder, including, without
limitation, when such counseling or treatment is provided through audio-only
interaction; and
(c) A provision prohibiting the State from:
(1) Requiring a person to obtain prior
authorization that would not be required if a service were provided in person
or through other means, establish a relationship with a provider of health care
or provide any additional consent to or reason for obtaining services through
telehealth as a condition to paying for services as described in paragraph (a)
or (b). The State Plan for Medicaid may require prior authorization for a
service provided through telehealth if such prior authorization would be
required if the service were provided in person or through other means.
(2) Requiring a provider of health care to
demonstrate that it is necessary to provide services to a person through
telehealth or receive any additional type of certification or license to
provide services through telehealth as a condition to paying for services as
described in paragraph (a) or (b).
(3) Refusing to pay for services as
described in paragraph (a) or (b) because of:
(I) The distant site from which a
provider of health care provides services through telehealth or the originating
site at which a person who is covered by the State Plan for Medicaid receives
services through telehealth; or
(II) The technology used to provide
the services.
(4) Requiring services to be provided
through telehealth as a condition to paying for such services.
(5) Categorizing a service provided
through telehealth differently for purposes relating to coverage than if the
service had been provided in person or through other means.
2. The provisions of this section do not:
(a) Require the Director to include in the State
Plan for Medicaid coverage of any service that the Director is not otherwise
required by law to include; or
(b) Require the State or any political
subdivision thereof to:
(1) Ensure that covered services are
available to a recipient of Medicaid through telehealth at a particular
originating site; or
(2) Provide coverage for a service that is
not included in the State Plan for Medicaid or provided by a provider of health
care that does not participate in Medicaid.
3. As used in this section:
(a) Distant site has the meaning ascribed to it
in NRS 629.515 .
(b) Federally-qualified health center has the
meaning ascribed to it in 42 U.S.C. 1396d(l)(2)(B).
(c) Originating site has the meaning ascribed
to it in NRS 629.515 .
(d) Provider of health care has the meaning
ascribed to it in NRS 439.820 .
(e) Rural health clinic has the meaning
ascribed to it in 42 U.S.C. 1395x(aa)(2).
(f) Telehealth has the meaning ascribed to it
in NRS 629.515 .

‹ Prev All Nevada sections Next ›


Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.