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NEVADA STATUTES AND CODES

695C.128 - Contracts to provide services pursuant to certain state programs: Payment of interest on claims.

695C.128  Contracts to provide services pursuant to certain state programs: Payment of interest on claims.  Any contract or other agreement entered into or renewed by a health maintenance organization on or after October 1, 2001:

      1.  To provide health care services through managed care to recipients of Medicaid under the state plan for Medicaid; or

      2.  With the Division of Health Care Financing and Policy of the Department of Health and Human Services to provide insurance pursuant to the Children’s Health Insurance Program,

Ê must require the health maintenance organization to pay interest to a provider of health care services on a claim that is not paid within the time provided in the contract or agreement at a rate of interest equal to the prime rate at the largest bank in Nevada, as ascertained by the Commissioner of Financial Institutions, on January 1 or July 1, as the case may be, immediately preceding the date on which the payment was due, plus 6 percent. The interest must be calculated from 30 days after the date on which the claim is approved until the date on which the claim is paid.

      (Added to NRS by 2001, 2734)

     

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