Nevada Administrative Code
Chapter 439 - Administration of Public Health
SENIOR PRESCRIPTION PROGRAM
Hearing
Section 439.858 - Duties of Department if decision of Department is overturned by hearing officer
Universal Citation: NV Admin Code 439.858
Current through September 16, 2024
1. If a hearing officer overturns a decision of the Department to deny a subsidy or that an enrollee is ineligible to receive a subsidy, the Department will:
(a) Reimburse the applicant or the enrollee
for the actual out-of-pocket expenses for prescription drugs or pharmaceutical
services incurred from the date that the applicant or the enrollee appealed the
decision of the Department to the date that the decision of the hearing officer
was issued;
(b) Pay the amount of
the subsidy due to a contractor from the date that the applicant or the
enrollee appealed the decision of the Department to the date that the decision
of the hearing officer was issued; and
(c) Reimburse the applicant or the enrollee,
upon receipt of proof of payment for any premium paid to a contractor for a
policy of health insurance from the date that the applicant or the enrollee
appealed the decision of the Department to the date that the decision of the
hearing officer was issued.
2. The provisions of this section apply regardless of whether the Department appeals the decision of the hearing officer.
Added to NAC by Dep't of Human Resources by R069-00, eff. 3-2-2001; A by R143-01, 12-17-2001; R200-03, 9-17-2004; A by Dep't of Health & Human Services by R157-05, 11-17-2005
NRS 439.655
Disclaimer: These regulations may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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