Nevada Code § 422.2734

Plan to ensure provision of behavioral health services by certain managed care organizations in culturally competent manner: Preparation; contents; implementation; review; additional duties
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1. To the extent practicable, the Division
shall require a managed care organization, including, without limitation, a
health maintenance organization, that provides behavioral health services to
recipients of Medicaid under the State Plan for Medicaid or the Childrens
Health Insurance Program pursuant to a contract with the Division to prepare
and implement a plan to ensure that such services are provided in a culturally
competent manner.
2. A plan to ensure that behavioral health
services are provided in a culturally competent manner must be approved by the
Division and must include, without limitation:
(a) Identification of disparities in the
incidence of behavioral health problems, in access to or usage of behavioral
health services and in behavioral health outcomes based on race, color,
ancestry, national origin, disability, familial status, sex, sexual
orientation, gender identity or expression, immigration status, primary
language and income level, to the extent that data is available to identify
such disparities;
(b) Strategies for reducing the disparities
identified pursuant to paragraph (a) and the rationale for each strategy;
(c) Mechanisms and goals to measure the
effectiveness of the strategies prescribed pursuant to paragraph (b) and, if
applicable, the degree to which the managed care organization has achieved
goals set forth in previous plans;
(d) Strategies for addressing trauma and
providing services in a trauma-informed manner; and
(e) Strategies for soliciting input from persons
to whom the managed care organization provides services and other interested
persons.
3. If the Division requires a managed care
organization to prepare and implement a plan to ensure that behavioral health
services are provided in a culturally competent manner, the managed care
organization must:
(a) Establish, through an open invitation, a
committee of interested persons for the purpose of conducting an ongoing review
of the plan. The committee must include, without limitation, state and local
government officers and employees, consumers of behavioral health services,
advocates for consumers of behavioral health services, experts on reducing
disparities in behavioral health and providers of behavioral health services.
(b) Biennially update the plan to reflect changes
in the population served by the managed care organization and submit the
updated plan to the Division for approval and for technical assistance and
feedback concerning the implementation of the plan.
(c) Post the plan and each updated version of the
plan on a publicly available Internet website.
(d) Biennially compile, submit to the Division
and post publicly on the Internet a report concerning the degree to which the
managed care organization has achieved or is progressing toward achieving the
goals set forth pursuant to paragraph (c) of subsection 2.
4. A committee established pursuant to
paragraph (a) of subsection 3 must meet at least quarterly. Such meetings:
(a) May be conducted remotely or in person; and
(b) Must be open to the public.
5. The Authority and the Division shall
provide a managed care organization with any demographic information or
technical assistance necessary to carry out the requirements imposed pursuant
to this section. A managed care organization may solicit any information necessary
to carry out the requirements imposed pursuant to this section from persons who
receive behavioral health services from the plan.
6. As used in this section,
trauma-informed manner means a manner that:
(a) Is informed by knowledge of and
responsiveness to the effects of trauma;
(b) Emphasizes physical, psychological and
emotional safety for persons receiving services; and
(c) Creates opportunities for a person affected
by trauma to rebuild a sense of control and empowerment.

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