{"data":{"id":"us-nv/nrs-695g.160","jurisdiction":"us-nv","citation":"NRS 695G.160","heading":"Written criteria concerning coverage of health care services and standards for quality of health care services.","body":"1. Each managed care organization shall establish written criteria:\n(a) Setting forth the manner in which it determines whether to authorize coverage of a health care service; and\n(b) Setting forth its method for reviewing standards for the quality of health care services provided to an insured.\n2. Such written criteria must be:\n(a) Developed with the assistance of practicing providers of health care;\n(b) Developed using generally recognized and, if appropriate, specialized clinical principles and processes;\n(c) Reviewed at least one time each year and, if appropriate, updated; and\n(d) Made available to an insured for review upon request of the insured any time that the managed care organization denies coverage of a specific health care service to the insured.","path":["TITLE 57 — INSURANCE","CHAPTER 695G - MANAGED CARE","COVERAGE BY MANAGED CARE ORGANIZATIONS"],"source_url":"https://www.leg.state.nv.us/NRS/NRS-695G.html#NRS695GSec160","current_through":"2025 session (NRS as revised 2026-08-25)","vintage":"","retrieved_at":"2026-09-03T05:51:46Z","sha256":"74518dd010b0e675db07898f1865956367f240ed6d30b5a063227e6685a0c329","source_id":"us-nv","stale":true,"prev":"us-nv/nrs-695g.155","next":"us-nv/nrs-695g.162"},"notice":"GroundRules: Original legal text. Not legal advice."}