Medicaid managed care entity means: 1. A health maintenance organization or other managed care organization that enters into a contract with the Authority or the Division pursuant to NRS 422.273 to provide health care services to recipients of Medicaid under the State Plan for Medicaid or the Childrens Health Insurance Program; or 2. A utilization review organization, as defined in NRS 695G.085 , that conducts utilization reviews for the Authority or a health maintenance organization or managed care organization described in subsection 1 with respect to Medicaid or the Childrens Health Insurance Program, while acting in its capacity as a utilization review organization for the Authority or the health maintenance organization or managed care organization.
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