Nevada Code § 422.272421

Medicaid: Inclusion of coverage for habilitative and rehabilitative speech-language pathology for certain persons; application for waiver or amendment
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1. To the extent federal financial
participation is available, the Director shall include under Medicaid coverage
for habilitative speech-language pathology and rehabilitative speech-language
pathology as a treatment for stuttering for persons who are less than 26 years
of age.
2. Except where necessary to obtain
federal financial participation, the Authority shall not:
(a) Set a maximum annual limit on the benefits
described in subsection 1, including, without limitation, a limit on the number
of annual visits to a speech-language pathologist;
(b) Limit the benefits described in subsection 1
based on the cause of the stuttering; or
(c) Subject the benefits described in subsection
1 to medical management techniques.
3. The Authority 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 Authority 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).
4. As used in this section:
(a) Habilitative speech-language pathology
means services that constitute the practice of speech-language pathology which
help a person keep, learn or improve skills and functioning for daily living.
(b) Medical management technique means a
practice which is used to control the cost or use of health care services or
prescription drugs. The term includes, without limitation, the use of step
therapy, prior authorization and categorizing drugs and devices based on cost,
type or method of administration.
(c) Practice of speech-language pathology has
the meaning ascribed to it in NRS 637B.060 .
(d) Rehabilitative speech-language pathology
means services that constitute the practice of speech-language pathology which
help a person restore or improve skills and functioning for daily living that
have been lost or impaired.

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