Nevada Code § 422.306

Hearing to review action taken against provider of services under State Plan for Medicaid; regulations; appeal of final decision
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1. Upon receipt of a request for a
hearing that complies with the provisions of this section and any regulations
adopted pursuant thereto, from a provider of services under the State Plan for
Medicaid, the Division shall appoint a hearing officer to conduct the hearing.
Any employee or other representative of the Division who investigated or made
the initial decision regarding the action taken against a provider of services
may not be appointed as the hearing officer or participate in the making of any
decision pursuant to the hearing.
2. Unless the Division determines that
extenuating circumstances exist pursuant to the regulations adopted pursuant to
subsection 3, a provider of services must request a hearing pursuant to
subsection 1 not later than 90 calendar days after the date of the notice of
the action being taken against the provider that is the subject of the hearing.
3. The Division shall adopt regulations
prescribing the:
(a) Procedures to be followed at the hearing;
(b) Actions on which a provider of services may
request a hearing; and
(c) Circumstances that constitute extenuating
circumstances and which justify the submission of a request for a hearing after
the expiration of the time period prescribed by subsection 2.
4. The decision of the hearing officer is
a final decision. Any party, including the Division, who is aggrieved by the
decision of the hearing officer may appeal that decision to the District Court
in and for Carson City by filing a petition for judicial review within 30 days
after receiving the decision of the hearing officer.
5. A petition for judicial review filed
pursuant to this section must be served upon every party within 30 days after
the filing of the petition for judicial review.
6. Unless otherwise provided by the court:
(a) Within 90 days after the service of the
petition for judicial review, the Division shall transmit to the court the
original or a certified copy of the entire record of the proceeding under
review, including, without limitation, a transcript of the evidence resulting
in the final decision of the hearing officer;
(b) The petitioner who is seeking judicial review
pursuant to this section shall serve and file an opening brief within 40 days
after the Division gives written notice to the parties that the record of the
proceeding under review has been filed with the court;
(c) The respondent shall serve and file an answering
brief within 30 days after service of the opening brief; and
(d) The petitioner may serve and file a reply
brief within 30 days after service of the answering brief.
7. Within 7 days after the expiration of
the time within which the petitioner may reply, any party may request a
hearing. Unless a request for hearing has been filed, the matter shall be
deemed submitted.
8. The review of the court must be
confined to the record. The court shall not substitute its judgment for that of
the hearing officer as to the weight of the evidence on questions of fact. The
court may affirm the decision of the hearing officer or remand the case for
further proceedings. The court may reverse or modify the decision if
substantial rights of the appellant have been prejudiced because the
administrative findings, inferences, conclusions or decisions are:
(a) In violation of constitutional or statutory
provisions;
(b) In excess of the statutory authority of the
Division;
(c) Made upon unlawful procedure;
(d) Affected by other error of law;
(e) Clearly erroneous in view of the reliable,
probative and substantial evidence on the whole record; or
(f) Arbitrary or capricious or characterized by
abuse of discretion or clearly unwarranted exercise of discretion.

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