Nevada Administrative Code
Chapter 695C - Health Maintenance Organizations; Provider-Sponsored Organizations
DELIVERY SYSTEM INTERMEDIARY
Section 695C.535 - Organization prohibited from requiring provision of health care services for which delivery system intermediary has not contracted except under certain circumstances
Universal Citation: NV Admin Code 695C.535
Current through September 16, 2024
1. An organization shall not require a delivery system intermediary to provide any health care services which a provider of the delivery system is not required to provide.
2. This section does not prohibit the organization or the delivery system intermediary from entering into an agreement for the provision of such health care services if the agreement provides incentives to the delivery system intermediary for the containment of the costs of providing those health care services.
Added to NAC by Comm'r of Insurance by R129-96, eff. 10-29-97
NRS 679B.130, 695C.275
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