Nevada · Through 2025 session (NRS as revised 2026-08-25) · Newer source version available

NRS 422.3071: Goods and services exempt from prior authorization.

1. The Authority or a Medicaid managed care entity, with respect to Medicaid and the Children’s Health Insurance Program, shall not require prior authorization for:
(a) Evidence-based goods or services for preventive care that have in effect a grade of “A” or “B” identified by the United States Preventive Services Task Force.
(b) Preventive care for women described in 45 C.F.R. § 147.130(a)(iv).
(c) Hospice care provided to pediatric patients in a facility for hospice care licensed pursuant to chapter 449 of NRS.
(d) Care provided to treat neonatal abstinence syndrome provided by a provider of health care who specializes in pain management for pediatric patients or palliative care provided to pediatric patients.
2. As used in this section:
(a) “Facility for hospice care” has the meaning ascribed to it in NRS 449.0033.
(b) “Hospice care” has the meaning ascribed to it in NRS 449.0115.
(c) “Provider of health care” means a person who participates in the State Plan for Medicaid or the Children’s Health Insurance Program as a provider of goods or services.

Where this section sits in the code

TITLE 38 — PUBLIC ASSISTANCE
CHAPTER 422 - MEDICAID AND OTHER HEALTH CARE PROGRAMS
ADMINISTRATION AND PROCEDURE
Prior Authorization Under Medicaid and the Children’s Health Insurance Program

1. The Authority or a Medicaid managed care entity, with respect to Medicaid and the Children’s Health Insurance Program, shall not require prior authorization for:

(a) Evidence-based goods or services for preventive care that have in effect a grade of “A” or “B” identified by the United States Preventive Services Task Force.

(b) Preventive care for women described in 45 C.F.R. § 147.130(a)(iv).

(d) Care provided to treat neonatal abstinence syndrome provided by a provider of health care who specializes in pain management for pediatric patients or palliative care provided to pediatric patients.

2. As used in this section:

(a) “Facility for hospice care” has the meaning ascribed to it in NRS 449.0033.

(b) “Hospice care” has the meaning ascribed to it in NRS 449.0115.

(c) “Provider of health care” means a person who participates in the State Plan for Medicaid or the Children’s Health Insurance Program as a provider of goods or services.

Collected 2026-09-03T05:51:39Z. Source file · JSON

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