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

NRS 695G.420: Managed care organization prohibited from offering or paying financial incentive to provider to deny, reduce, withhold, limit or delay medically necessary services.

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Where this section sits in the code
  1. TITLE 57 — INSURANCE
  2. CHAPTER 695G - MANAGED CARE
  3. PROHIBITED ACTS

1. A managed care organization shall not offer or pay any type of material inducement, bonus or other financial incentive to a provider of health care to deny, reduce, withhold, limit or delay specific medically necessary health care services to an insured.

2. Nothing in this section prohibits an arrangement for payment between a managed care organization and a provider of health care that uses capitation or other financial incentives, if the arrangement is designed to provide an incentive to the provider of health care to use health care services effectively and consistently in the best interest of the health care of the insured.

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

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