Nevada Code § 422.27497

State Plan for Medicaid: Inclusion of requirement for payment of certain costs for services provided by behavior analysts, assistant behavior analysts and registered behavior technicians; establishment of reasonable limitations on hours for provision of such services; reporting of certain information concerning services provided to recipients of Medicaid diagnosed with autism spectrum disorder
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1. The Director shall:
(a) Include in the State Plan for Medicaid a
requirement that the State pay the nonfederal share of expenditures incurred
for services provided by behavior analysts, assistant behavior analysts and
registered behavior technicians to recipients of Medicaid who are less than 27
years of age.
(b) Establish reasonable limits on the number of
hours that a behavior analyst, assistant behavior analyst or registered
behavior technician is authorized to bill for services provided to a recipient
of Medicaid in a 24-hour period.
2. The Division shall provide training to
behavior analysts, assistant behavior analysts and registered behavior
technicians who provide services to recipients of Medicaid concerning the
limits established pursuant to paragraph (b) of subsection 1.
3. On or before January 31 of each year,
the Division shall:
(a) Compile a report concerning the provision of
services to recipients of Medicaid who have been diagnosed with an autism
spectrum disorder. The report must include:
(1) The number of recipients of Medicaid
who were newly diagnosed with an autism spectrum disorder during the
immediately preceding year and the number of those recipients for whom
assistance with care management was provided;
(2) The number of recipients of Medicaid
diagnosed with an autism spectrum disorder for whom assistance with care
management was reimbursed through Medicaid during the immediately preceding
year;
(3) The number of recipients of Medicaid
for whom the first claim for reimbursement for the services of a registered
behavior technician was submitted during the immediately preceding year;
(4) The number of assessments or
evaluations by a behavior analyst that were reimbursed through Medicaid during
the immediately preceding year;
(5) The total number of claims for applied
behavior analysis services provided to recipients of Medicaid made during the
immediately preceding year;
(6) For the immediately preceding year,
the average times that elapsed between claims for each step of the process that
a recipient of Medicaid must undergo to receive treatment from a registered
behavior technician, beginning with initial diagnosis with an autism spectrum
disorder and including, without limitation, comprehensive diagnosis with an
autism spectrum disorder, evaluation and treatment by a behavior analyst and
treatment by a registered behavior technician;
(7) The number of recipients of Medicaid
receiving services through Medicaid managed care who were, at the end of the
immediately preceding year, on a wait list for applied behavior analysis
services;
(8) An assessment of the adequacy of the
network of each health maintenance organization or managed care organization
that provides services to recipients of Medicaid under the State Plan for
Medicaid for applied behavior analysis services, as compared to the applicable
standard for network adequacy set forth in the contract between the health
maintenance organization or managed care organization and the Division;
(9) The number of behavior analysts and
registered behavior technicians who are currently providing services to
recipients of Medicaid who receive services through each health maintenance
organization or managed care organization described in subparagraph (8); and
(10) The number of behavior analysts and
registered behavior technicians who provide services to recipients of Medicaid
who do not receive services through managed care.
(b) Submit the report to the Director of the
Legislative Counsel Bureau for transmittal to:
(1) In odd-numbered years, the next
regular session of the Legislature; and
(2) In even-numbered years, the Joint
Interim Standing Committee on Health and Human Services.
4. As used in this section:
(a) Applied behavior analysis services means
the services of a behavior analyst, assistant behavior analyst or registered
behavior technician.
(b) Assistant behavior analyst has the meaning
ascribed to it in NRS 641D.020 .
(c) Behavior analyst has the meaning ascribed
to it in NRS 641D.030 .
(d) Registered behavior technician has the
meaning ascribed to it in NRS 641D.100 .

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