422.2374 - Cooperation with Medicaid Fraud Control Unit; suspension or exclusion of provider of goods or services under State Plan for Medicaid. - Nevada Statutes

422.2374  Cooperation with Medicaid Fraud Control Unit; suspension or exclusion of provider of goods or services under State Plan for Medicaid.

      1.  The Administrator shall:

      (a) Promptly comply with a request from the Unit for access to and free copies of any records or other information in the possession of the Division regarding a provider;

      (b) Refer to the Unit all cases in which the Administrator suspects that a provider has committed an offense pursuant to NRS 422.540 to 422.570, inclusive; and

      (c) Suspend or exclude a provider who the Administrator determines has committed an offense pursuant to NRS 422.540 to 422.570, inclusive, from participation as a provider or an employee of a provider, for a minimum of 3 years. A criminal action need not be brought against the provider before suspension or exclusion pursuant to this subsection.

      2.  As used in this section:

      (a) “Provider” means a person who has applied to participate or who participates in the State Plan for Medicaid as the provider of goods or services.

      (b) “Unit” means the Medicaid Fraud Control Unit established in the Office of the Attorney General pursuant to NRS 228.410.

      (Added to NRS by 1997, 2614; A 1999, 2242; 2005, 22nd Special Session, 24)