Nev. Admin. Code § 428.080 - Preliminary review of applications; physicians' charges and ambulance costs

1. Upon receipt of an application from a hospital for reimbursement, the Executive Director of the Nevada Association of Counties or his or her designee, on behalf of the Board, will review the application to determine its completeness and conformance with requirements for eligibility.

2. Each application determined by the Executive Director of the Nevada Association of Counties or his or her designee to be incomplete or not in conformance with requirements for eligibility will be returned to the applicant without further action. A notation will be made on each returned application as to why it is incomplete or not in conformance with requirements for eligibility.

3. Physician's charges will be reviewed and payment will be made based on a percentage of charges, as established by the Board, in accordance with the edition of the Current Procedural Terminology of the American Medical Association, adopted by reference in NAC 428.070, that was in effect in Nevada at the time that the patient was treated.

4. Applications determined by the Executive Director of the Nevada Association of Counties or his or her designee to be complete and in conformance with the requirements of eligibility to receive payment from the Fund will be referred to the Board.

5. Unless approved by the Board, ambulance costs incurred as a result of a transfer of a patient from one hospital to another are payable only when:

(a) A hospital is unable to provide specialized care or equipment; and

(b) The medically necessary transfer occurred within 3 days after admission to the first hospital.

Notes

Nev. Admin. Code § 428.080

Added to NAC by Bd. of Trustees of Fund for Hosp. Care to Indigent Persons, eff. 4-17-84; A 6-20-90; R054-10, 10-15-2010

NRS 428.205