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Nevada · Through 2025 session (NRS as revised 2026-08-25)

NRS 689A.637: Coverage offered through plan that provides for restricted network: Contracts with certain federally qualified health centers.

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Where this section sits in the code
  1. TITLE 57 — INSURANCE
  2. CHAPTER 689A - INDIVIDUAL HEALTH INSURANCE
  3. PORTABILITY AND ACCOUNTABILITY
  4. Individual Carriers

1. An individual carrier that offers a health benefit plan that includes a provision for a restricted network shall use its best efforts to contract with at least one health center in each geographic service area to provide health care services to persons covered by the plan if the health center:

(a) Meets all conditions imposed by the carrier on similarly situated providers of health care with which the carrier contracts, including, without limitation:

(1) Certification for participation in the Medicaid or Medicare program; and

(2) Requirements relating to the appropriate credentials for providers of health care; and

(b) Agrees to reasonable reimbursement rates that are generally consistent with those offered by the carrier to similarly situated providers of health care with which the carrier contracts.

2. As used in this section, “health center” has the meaning ascribed to it in 42 U.S.C. § 254b.

Collected 2026-09-03T05:51:46Z. Source file · JSON

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