Nevada Administrative Code
Chapter 687B - Contracts of Insurance
CONTRACTS FOR LONG-TERM CARE
Section 687B.080 - Definition of terms in contracts

1. "Activities of daily living" must be defined as including, without limitation, bathing, continence, dressing, eating, toileting and transferring.

2. "Acute condition" must be defined as a condition making a person medically unstable and requiring frequent monitoring of the person by providers of health care, including, but not limited to, physicians and registered nurses, in order to maintain his or her status of health.

3. "Adult day care" must be defined as a program, for six or more persons, of social and health-related services provided during the day in a community group setting for the purpose of supporting frail, impaired, elderly or disabled adults who can benefit from care in a group setting outside the home.

4. "Bathing" must be defined as washing oneself by sponge bath or in a tub or shower, including, without limitation, the task of getting into or out of the tub or shower.

5. "Cognitive impairment" must be defined as a deficiency in:

6. "Continence" must be defined as:

7. "Dressing" must be defined as putting on and taking off all items of clothing, including, without limitation, any necessary braces, fasteners or artificial limbs.

8. "Eating" must be defined as feeding oneself by getting food into the body, including, without limitation:

9. "Hands-on assistance" must be defined as physical assistance without which the person would not be able to perform the activity of daily living.

10. "Home health care services" must be defined as medical and nonmedical services provided to ill, disabled or infirm persons in their residences. Covered services may include the services of a homemaker, assistance with activities of daily living and respite care.

11. "Medicare" must be defined as:

12. "Mental or nervous disorder" must not be defined to include more than neurosis, psychoneurosis, psychopathy, psychosis, or a mental or emotional disease or disorder.

13. "Personal care" must be defined as the provision of hands-on services to assist a person with activities of daily living.

14. "Provider of services," including, without limitation, a "skilled nursing facility," "extended care facility," "intermediate care facility," "convalescent nursing home," "personal care facility," "specialized care provider," "assisted living facility" and "home care agency" must be defined in relation to the services and facilities required to be available and the level of the licenses, certificates, registrations or degrees required for persons providing or supervising the services. If the definition requires that the provider be appropriately licensed, certified or registered, the definition must also set forth the requirements a provider must meet in lieu of licensure, certification or registration when the state in which the service is to be furnished does not require a provider of such services to be licensed, certified or registered or when the state licenses, certifies or registers such a provider under another name.

15. "Skilled nursing care," "intermediate care," "specialized care," "assisted living care," "home care" and any other care received must be defined in relation to the level of skill required, the nature of the care and the setting in which the care must be provided.

16. "Toileting" must be defined as:

17. "Transferring" must be defined as moving into or out of a bed, chair or wheelchair.