Nevada Administrative Code

NAC 442.390 Level II specialty care facilities: General requirements. (NRS 442.007, 449.0302) 1. A level II specialty care facility must be able to provide: (a) The basic care services as described under subsection 1 of NAC 442.380. (b) Intermediate care for a minimum of six neon…

NAC 442.401 Level III subspecialty care facilities: General requirements. (NRS 442.007, 449.0302) 1. A level III subspecialty care facility must: (a) Be able to care for neonates as provided by NAC 442.390; (b) Provide nine or more beds for the intensive care of neonates; (c) Pro…

NAC 442.405 Level II specialty care facilities and level III subspecialty care facilities: Additional requirements. (NRS 442.007, 449.0302) In addition to the requirements set forth in NAC 442.390 and 442.401, level II specialty care facilities and level III subspecialty care fac…

NAC 442.411 Application; fee; requirements for provision of obstetrical services. (NRS 442.007, 449.0302) 1. The Division shall provide a uniform application form for hospitals to apply for a designation as a level II specialty care facility or level III subspecialty care facilit…

NAC 442.415 Accompaniment of application with letter of approval. (NRS 442.007, 449.0302) If a hospital is required to obtain the approval of the Director of the Department of Health and Human Services pursuant to NRS 439A.100 in order to provide intensive care for neonates, the …

NAC 442.430 Level III subspecialty care facilities: Requirements for designation. (NRS 442.007, 449.0302) A hospital seeking designation as a level III subspecialty care facility must: 1. Demonstrate its capability to provide all required services and equipment, which include: (a…

NAC 442.440 Level III subspecialty care facilities: System required for education, consultation, referral and continuing care. (NRS 442.007, 449.0302) A hospital seeking designation as a level III subspecialty care facility must comply with the requirements set forth in NAC 442.4…

NAC 442.461 Reporting requirements; provision of access for inspection. (NRS 442.007, 449.0302) A level II specialty care facility or level III subspecialty care facility shall: 1. Comply with the reporting requirements established by the Division; 2. Provide access to its facili…

NAC 442.471 Periodic examination of sites and review of performance. (NRS 442.007, 449.0302) The Division shall conduct an examination on the site of each facility designated at each level and review its performance at least once every 5 years. (Added to NAC by Bd. of Health, 7-1…

NAC 442.480 Provision of certain new services: Requirements for approval; period of approval. (NRS 442.007, 449.0302) 1. A hospital may request the Division’s approval to provide a new service for the level II specialty care of neonates after the hospital has operated a level I b…

NAC 442.501 Denial, suspension or revocation of right to provide care: Grounds. (NRS 442.007, 449.0302) The Division may deny, suspend or revoke the right of a hospital to provide level II specialty care or level III subspecialty care for neonates for the failure of the hospital …

NAC 442.511 Denial, suspension or revocation of right to provide care: Notice; appeal. (NRS 442.007, 449.0302) 1. The Division shall give a hospital written notice in the manner prescribed in chapter 439 of NAC before it: (a) Denies an application of a hospital to provide level I…

NAC 442.520 Revocation of designation: Grounds. (NRS 442.007, 449.0302) The Division may revoke a hospital’s designation as a level II specialty care facility or level III subspecialty care facility if the hospital: 1. Uses unlicensed beds in its level II specialty care facility …

NAC 442.530 Revocation of designation: Procedure. (NRS 442.007, 449.0302) 1. The Division shall give written notice to a hospital of its intention to revoke the hospital’s designation. The notice must contain the reasons for the Division’s action. 2. Within 30 days after the hosp…

NAC 442.540 Acceptance of neonate without regard to ability of parents or guardian to pay. (NRS 442.007, 449.0302) A level I basic care facility, level II specialty care facility or level III subspecialty care facility shall accept any neonate transported to or back to that facil…

NAC 442.550 System of cooperation among facilities; records of problems and solutions discussed. (NRS 442.007, 449.0302) A system of cooperation to ensure the quality of care provided must be established between a level III subspecialty care facility and facilities that refer neo…

NAC 442.600 Definitions. (NRS 442.140, 442.190) As used in NAC 442.600 to 442.788, inclusive, unless the context otherwise requires, the words and terms defined in NAC 442.602 to 442.708, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd. of Hea…

NAC 442.602 “Activities of daily living” defined. (NRS 442.140, 442.190) “Activities of daily living” means activities that a person performs independently to care for his or her personal needs, including, but not limited to, bathing, grooming, using the toilet, eating, brushing …

NAC 442.603 “Acute care” defined. (NRS 442.190) “Acute care” means a level of medical services provided in a hospital. (Added to NAC by Bd. of Health, eff. 1-18-94)

NAC 442.605 “Administrator” defined. (NRS 442.140, 442.190) “Administrator” means the Administrator of the Division. (Added to NAC by Bd. of Health, eff. 11-27-89)

NAC 442.614 “Ambulatory or outpatient services” defined. (NRS 442.190) “Ambulatory or outpatient services” means limited medical services provided for the diagnosis or treatment of a client who does not require care in a medical facility for more than 24 hours. (Added to NAC by B…

NAC 442.616 “Annually” defined. (NRS 442.140, 442.190) “Annually” means for each continuous period of 12 months of participation in the program. (Added to NAC by Bd. of Health by R212-97, eff. 7-23-98)

NAC 442.617 “Bureau” defined. (NRS 442.140, 442.190) “Bureau” means the Bureau of Family Health Services of the Division. (Added to NAC by Bd. of Health, eff. 10-30-97)

NAC 442.619 “Chief” defined. (NRS 442.140, 442.190) “Chief” means the Chief of the Bureau. (Added to NAC by Bd. of Health by R212-97, eff. 7-23-98)

NAC 442.620 “Chronic” defined. (NRS 442.190) “Chronic” means a medical condition persisting for more than 12 weeks. (Added to NAC by Bd. of Health, eff. 11-27-89)

NAC 442.625 “Client” defined. (NRS 442.140, 442.190) “Client” means a person who is eligible to participate in the program pursuant to NAC 442.600 to 442.788, inclusive. (Added to NAC by Bd. of Health, eff. 11-27-89; A 1-18-94; R212-97, 7-23-98; R095-99, 11-29-99; R024-06, 7-14-2…

NAC 442.635 “Diagnostic evaluation” defined. (NRS 442.190) “Diagnostic evaluation” means the performance of a medical history, a physical examination, laboratory tests, radiological procedures, sonography, magnetic resonance imaging, or specific, limited surgical procedures neces…

NAC 442.637 “Disabling condition” defined. (NRS 442.140, 442.190) “Disabling condition” means an anatomical, physiological or other physical deficiency which inhibits normal growth or the ability to perform the activities of daily living. (Added to NAC by Bd. of Health, eff. 11-2…

NAC 442.638 “Division” defined. (NRS 442.140, 442.190) “Division” means the Division of Public and Behavioral Health of the Department of Health and Human Services. (Added to NAC by Bd. of Health, eff. 11-27-89)—(Substituted in revision for NAC 442.655)

NAC 442.639 “Eligible condition” defined. (NRS 442.140, 442.190) “Eligible condition” means an eligible medical condition or another condition for which coverage is provided under the program pursuant to NAC 442.600 to 442.788, inclusive. (Added to NAC by Bd. of Health by R212-97…

NAC 442.640 “Eligible medical condition” defined. (NRS 442.140, 442.190) “Eligible medical condition” means a medical condition of a client described in NAC 442.784. (Added to NAC by Bd. of Health, eff. 11-27-89; A 1-18-94; R212-97, 7-23-98)

NAC 442.660 “High-risk pregnancy” defined. (NRS 442.190) “High-risk pregnancy” means a pregnancy which, on the basis of age or genetic, medical, nutritional or environmental factors, can be considered likely to require more than standard, routine obstetric care. (Added to NAC by …

NAC 442.662 “Hospital” defined. (NRS 442.140, 442.190) “Hospital” has the meaning ascribed to it in NRS 449.012. (Added to NAC by Bd. of Health, eff. 1-18-94)

NAC 442.663 “Household” defined. (NRS 442.140, 442.190) “Household” means an association of persons who live together as a single economic unit, regardless of whether they are related. (Added to NAC by Bd. of Health, eff. 1-18-94; A by R212-97, 7-23-98)

NAC 442.665 “Inpatient” defined. (NRS 442.190) “Inpatient” means a client who requires a stay of more than 24 hours in a hospital for treatment or a diagnostic evaluation. (Added to NAC by Bd. of Health, eff. 11-27-89; A 1-18-94)

NAC 442.670 “Medicaid” defined. (NRS 442.140, 442.190) “Medicaid” means the program established pursuant to Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq., to provide assistance for part or all of the cost of medical care for indigent persons. (Added to NAC by Bd…

NAC 442.676 “Medical facility” defined. (NRS 442.140, 442.190) “Medical facility” means an establishment that provides treatment and services directed toward the habilitation and rehabilitation of a client to a reasonable level of health and ability to perform the activities of d…

NAC 442.680 “Medical review” defined. (NRS 442.190) “Medical review” means the review of a provider’s medical records by, or in consultation with, a medical staff composed of persons who are employed by the Division or have a contract with the Division for the performance of thos…

NAC 442.685 “Medical services” defined. (NRS 442.140, 442.190) “Medical services” means services rendered by a provider and other treatment, services and necessary appliances directed toward the habilitation and rehabilitation of a client to a reasonable level of health and abili…

NAC 442.687 “Memorandum of understanding” defined. (NRS 442.140, 442.190) “Memorandum of understanding” means an agreement that defines the type of services a provider will provide to clients and the method by which the provider will be reimbursed for those services under the pro…

NAC 442.688 “Nevada Check Up” defined. (NRS 442.140, 442.190) “Nevada Check Up” means the program established pursuant to 42 U.S.C. §§ 1397aa to 1397jj, inclusive, to provide health insurance for uninsured children from low-income families in this State. (Added to NAC by Bd. of H…

NAC 442.690 “Physician” defined. (NRS 442.140, 442.190) “Physician” means a provider who: 1. Is licensed by the state where he or she practices; 2. Is certified by or eligible to take an examination for certification from a specialty board that is a member of the American Board o…

NAC 442.694 “Primary care” defined. (NRS 442.190) “Primary care” means a full range of comprehensive, integrated and longitudinal health services that are based in the community of a client, centered on the family of a client and provided on an ambulatory basis, including, but no…

NAC 442.696 “Prognosis” defined. (NRS 442.140, 442.190) “Prognosis” means the prospects of a client reaching a reasonable level of health and an ability to perform the activities of daily living. (Added to NAC by Bd. of Health, eff. 1-18-94)

NAC 442.700 “Program” defined. (NRS 442.140, 442.190) “Program” means the program of the Division that provides reimbursement for the specialized medical services required for the maximum alleviation or rehabilitation of the eligible conditions of clients. (Added to NAC by Bd. of…

NAC 442.702 “Program specialist” defined. (NRS 442.140, 442.190) “Program specialist” means an employee of the Division who is designated by the Administrator to determine: 1. Eligibility for the receipt of services under the program; 2. Whether to authorize the provision of serv…

NAC 442.705 “Provider” defined. (NRS 442.140, 442.190) “Provider” means a person authorized to provide a health care service or product pursuant to NAC 442.600 to 442.788, inclusive, through a signed memorandum of understanding with the Division. (Added to NAC by Bd. of Health, e…