Title 38

NRS 422.3967 Program of all-inclusive care for the elderly: Establishment and administration; requirements; regulations; application for waiver or amendment; provision of services; contracts; acceptance and expenditure of grants of money or other assistance. 1. The Authority shal…

NRS 422.3969 Rights of person receiving home and community-based services. 1. This section may be cited as the Bill of Rights for Persons with Intellectual, Developmental or Physical Disabilities or who are Aged. 2. Except as otherwise specifically provided by law, each person wi…

NRS 422.398 Prohibition against considering money deposited in individual development account by recipient of Medicaid to be income for certain purposes. To the extent authorized by federal law, the Authority shall not consider money deposited in an individual development account…

NRS 422.399 Instruction in financial literacy for certain recipients of Medicaid. 1. The Authority shall, to the extent that money is provided by the State Treasurer pursuant to NRS 422A.492 for that purpose, ensure that instruction in financial literacy is provided to a recipien…

NRS 422.401 Definitions. As used in NRS 422.401 to 422.406, inclusive, unless the context otherwise requires, the words and terms defined in NRS 422.4015 to 422.4024, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2003, 1317; A 2017, 1801, 3928;…

NRS 422.4015 “Board” defined. “Board” means the Silver State Scripts Board established pursuant to NRS 422.4035. (Added to NRS by 2003, 1317; A 2019, 4028)

NRS 422.402 “Drug Use Review Board” defined. “Drug Use Review Board” means the Board established pursuant to 42 U.S.C. § 1396r-8(g)(3). (Added to NRS by 2003, 1317)

NRS 422.4021 “Health benefit plan” defined. “Health benefit plan” means a policy, contract, certificate or agreement offered to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services. (Added to NRS by 2019, 4027)

NRS 422.4022 “Health maintenance organization” defined. “Health maintenance organization” has the meaning ascribed to it in NRS 695C.030. (Added to NRS by 2019, 4027)

NRS 422.4023 “Pharmacy benefit manager” defined. “Pharmacy benefit manager” has the meaning ascribed to it in NRS 683A.174. (Added to NRS by 2019, 4027)

NRS 422.4024 “Sickle cell disease and its variants” defined. “Sickle cell disease and its variants” has the meaning ascribed to it in NRS 439.4927. (Added to NRS by 2019, 2167)

NRS 422.4025 List of preferred prescription drugs used for Medicaid program and Children’s Health Insurance Program; list of drugs excluded from restrictions; role of Board; availability of new pharmaceutical products and products for which there is new evidence; report; coverage…

NRS 422.4026 Coverage of certain supplements for treating sickle cell disease and its variants: Adoption of list by regulation; periodic review of list. 1. The Authority, upon the recommendation of the Board, shall prescribe by regulation a list of nonprescription supplements ess…

NRS 422.403 Establishment and management of use by Medicaid program of step therapy and prior authorization; duties of Drug Use Review Board; exception for certain drugs to treat psychiatric conditions; acceptance of recommendations from Board; regulations. 1. The Authority shall…

NRS 422.4032 Exemption from required step therapy for certain drugs: Application process; form; approval; payment of cost of drug for which exemption applies. [Effective until the effective date of the initial contract entered into between the Nevada Health Authority and the stat…

NRS 422.4035 Silver State Scripts Board: Creation; membership. 1. The Director shall create the Silver State Scripts Board within the Authority. The Board must consist of such members as are appointed by the Director. 2. The Director shall appoint to the Board health care profess…

NRS 422.404 Silver State Scripts Board: Chair; terms; vacancies; meetings; quorum. 1. The Director shall appoint the Chair of the Board from among its members. 2. After the initial terms, the term of each member of the Board is 2 years. A member may be reappointed. 3. A vacancy o…

NRS 422.4045 Silver State Scripts Board: Members serve without compensation; members entitled to per diem; members holding public office or employed by governmental entity. 1. Members of the Board serve without compensation, except that a member of the Board is entitled, while en…

NRS 422.405 Silver State Scripts Board: Duties and powers. 1. The Authority shall, by regulation, set forth the duties of the Board, which must include, without limitation: (a) Identifying the prescription drugs which should be included on the list of preferred prescription drugs…

NRS 422.4052 Authority to take certain actions relating to acquisition of prescription drugs for recipient of Medicaid who resides in area for which declared disaster or emergency is in effect. 1. The Authority shall ensure that, if the Governor or the Legislature proclaims the e…

NRS 422.40523 Application to serve as state pharmacy benefit manager; requirements. [Effective on the effective date of the initial contract entered into between the Nevada Health Authority and the state pharmacy benefit manager pursuant to NRS 422.4053, as amended by section 12 …

NRS 422.40527 Regulations on certain subjects relating to administration of pharmacy benefits; establishment of Nevada Average Acquisition Cost benchmark; report. [Effective on the effective date of the initial contract entered into between the Nevada Health Authority and the sta…

NRS 422.4053 Authority to manage payments and rebates for prescription drugs; contract for provision of certain services. [Effective until the effective date of the initial contract entered into between the Nevada Health Authority and the state pharmacy benefit manager pursuant t…

NRS 422.4054 Submission of certain contracts by state pharmacy benefit manager to Authority for approval; Authority authorized to change certain payment arrangements to comply with state or federal requirements. [Effective on the effective date of the initial contract entered int…

NRS 422.4056 Audits of certain contracts; posting of audit results on Internet website. [Effective until the effective date of the initial contract entered into between the Nevada Health Authority and the state pharmacy benefit manager pursuant to NRS 422.4053, as amended by sect…

NRS 422.406 Administration of provisions relating to prescription drugs and coverage of certain care under Medicaid; Authority authorized to adopt regulations; enter into contracts. 1. The Authority may, to carry out its duties set forth in NRS 422.27172 to 422.27179, inclusive, …

NRS 422.410 Fraudulent acts; penalties. Unless a different penalty is provided pursuant to NRS 422.361 to 422.369, inclusive, or 422.450 to 422.590, inclusive, a person who knowingly and designedly, by any false pretense, false or misleading statement, impersonation, misrepresent…

NRS 422.450 Definitions. As used in NRS 422.450 to 422.590, inclusive, unless the context otherwise requires, the words and terms defined in NRS 422.460 to 422.525, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 1991, 1048; A 1997, 456)

NRS 422.460 “Benefit” defined. “Benefit” means a benefit authorized by the Plan. (Added to NRS by 1991, 1048)

NRS 422.470 “Claim” defined. “Claim” means a communication, whether oral, written, electronic or magnetic, which is used to identify specific goods, items or services as reimbursable pursuant to the Plan, or which states income or expense and is or may be used to determine a rate…

NRS 422.480 “Plan” defined. “Plan” means the State Plan for Medicaid established pursuant to NRS 422.063. (Added to NRS by 1991, 1048; A 1993, 2067; 1997, 1245)

NRS 422.490 “Provider” defined. “Provider” means a: 1. Person who has applied to participate or who participates in the Plan as the provider of goods or services; or 2. Private insurance carrier, health care cooperative or alliance, health maintenance organization, insurer, organ…

NRS 422.500 “Recipient” defined. “Recipient” means a natural person who receives benefits pursuant to the Plan. (Added to NRS by 1991, 1048)

NRS 422.510 “Records” defined. “Records” means medical, professional or business records relating to the treatment or care of a recipient, or to a good or a service provided to a recipient, or to rates paid for such a good or a service, and records required to be kept by the Plan…

NRS 422.520 “Sign” defined. “Sign” means to affix a signature directly or indirectly by means of handwriting, typewriter, stamp, computer impulse or other means. (Added to NRS by 1991, 1048)

NRS 422.525 “Statement or representation” defined. “Statement or representation” includes, without limitation, a report, claim, certification, acknowledgment or ratification of: 1. Financial information; 2. An enrollment claim; 3. Demographic statistics; 4. Encounter data; 5. Hea…

NRS 422.530 Responsibility for false claim, statement or representation. For the purposes of NRS 422.540 and 422.550: 1. A person shall be deemed to have known that a claim, statement or representation was false if the person knew, or by virtue of his or her position, authority o…

NRS 422.540 Offenses regarding false claims, statements or representations; penalties. 1. A person, with the intent to defraud, commits an offense if with respect to the Plan the person: (a) Makes a claim or causes it to be made, knowing the claim to be false, in whole or in part…

NRS 422.550 Statement regarding truth and accuracy of applications, reports and invoices; applications required to be accompanied by certain verification of identity; perjury; presumption concerning person who signs statement on behalf of provider. 1. Each application or report s…

NRS 422.560 Offenses regarding sale, purchase or lease of goods, services, materials or supplies; penalty. 1. Except as otherwise provided in subsection 2, a person shall not: (a) While acting on behalf of a provider, purchase or lease goods, services, materials or supplies for w…

NRS 422.570 Intentional failure to maintain adequate records; intentional destruction of records; penalties. 1. A person who, upon submitting a claim for or upon receiving payment for goods or services pursuant to the Plan, intentionally fails to maintain such records as are nece…

NRS 422.580 Civil penalties for certain violations; liability of provider for excess amount unknowingly accepted; enforcement; use of money collected as penalty or repayment. 1. A provider who receives payment to which the provider is not entitled by reason of a violation of NRS …

NRS 422.590 Limitation and accrual of actions. An action brought pursuant to NRS 422.540 to 422.580, inclusive, must be commenced within 4 years, but the cause of action in such a case shall be deemed to accrue upon the discovery by the aggrieved party of the facts constituting a…

NRS 422A.001 Definitions. As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 422A.005 to 422A.080, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2005, 22nd Special Session, 2; A 2013, 1309)

NRS 422A.005 “Administrator” defined. “Administrator” means the Administrator of the Division. (Added to NRS by 2005, 22nd Special Session, 2)

NRS 422A.015 “Children’s Health Insurance Program” defined. Repealed. (See chapter 514, Statutes of Nevada 2025, at page 3778.)