NRS 422.4056: Audits of certain contracts; posting of audit results on Internet website. [Effective until the effective date of the initial contract entered into between the Nevada Health Authority and the state pharmacy benefit manager pursuant to NRS 422.4053
Where this section sits in the code
- TITLE 38 — PUBLIC ASSISTANCE
- CHAPTER 422 - MEDICAID AND OTHER HEALTH CARE PROGRAMS
- PRESCRIPTION DRUGS
, as amended by section 12 of chapter 390, Statutes of Nevada 2025, at page 2605.]
1. Any contract between the Authority and a pharmacy benefit manager or health maintenance organization entered into pursuant to NRS 422.4053 must require the pharmacy benefit manager or health maintenance organization, as applicable, to:
(a) Submit to and cooperate with an annual audit by the Authority to evaluate the compliance of the pharmacy benefit manager or health maintenance organization with the agreement and generally accepted accounting and business practices. The audit must analyze all claims processed by the pharmacy benefit manager or health maintenance organization pursuant to the agreement.
(b) Obtain from an independent accountant, at the expense of the pharmacy benefit manager or health maintenance organization, as applicable, an annual audit of internal controls to ensure the integrity of financial transactions and claims processing.
2. The Authority shall post the results of any audit conducted pursuant to paragraph (a) of subsection 1 on an Internet website maintained by the Authority.
Collected 2026-09-03T05:51:39Z. Source file · JSON