Nevada Code § 422.387

Calculation of disproportionate share payments; verification of eligibility for disproportionate share payments; Director authorized to negotiate terms of amendment to State Plan for Medicaid with Centers for Medicare and Medicaid Services of United States Department of Health and Human Services
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1. The State Plan for Medicaid must
provide the methodology for:
(a) Calculating the initial distribution of the
disproportionate share payments in accordance with the regulations adopted
pursuant to NRS 422.390 ;
(b) Adjusting the disproportionate share payment
to a hospital if the annual audit of the hospital demonstrates that the
disproportionate share payment made to the hospital was greater than the amount
of money which the hospital was eligible to receive; and
(c) Redistributing any amount of disproportionate
share payments which are returned to the Division as a result of the
adjustments made in accordance with paragraph (b).
2. The State Plan for Medicaid or, if the
Division deems necessary, the Division may require a hospital to submit any
documentation or other information to verify eligibility for a disproportionate
share payment or compliance with the requirements of NRS 422.380 to 422.390 , inclusive. A disproportionate
share payment may not be calculated for or made to a hospital which fails to
provide the Division with documentation or other information that is required
by the State Plan for Medicaid or the Division.
3. Except as otherwise provided in
subsection 4, the State Plan for Medicaid must be consistent with the
provisions of NRS 422.380 to 422.390 , inclusive, and the regulations
adopted pursuant thereto, and Title XIX of the Social Security Act, 42 U.S.C.
 1396 et seq., and the regulations adopted pursuant to those provisions.
4. If the Centers for Medicare and
Medicaid Services of the United States Department of Health and Human Services
denies an amendment to the State Plan for Medicaid, the Director may negotiate
terms which are acceptable to the Centers for Medicare and Medicaid Services
which are inconsistent with the provisions of NRS
422.380 to 422.390 , inclusive, and
the regulations adopted pursuant thereto if:
(a) Negotiating such terms is necessary to ensure
that the State Plan for Medicaid is consistent with the provisions of Title XIX
of the Social Security Act, 42 U.S.C. 1396 et seq., and the regulations
adopted pursuant to those provisions; and
(b) Before finalizing such an amendment to the
State Plan for Medicaid, the Director obtains the approval of the Interim
Finance Committee.

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