695G.090 - Applicability. [Effective through December 31, 2010.] - Nevada Statutes

695G.090  Applicability. [Effective January 1, 2011.]

      1.  Except as otherwise provided in subsection 3, the provisions of this chapter apply to each organization and insurer that operates as a managed care organization and may include, without limitation, an insurer that issues a policy of health insurance, an insurer that issues a policy of individual or group health insurance, a carrier serving small employers, a fraternal benefit society, a hospital or medical service corporation and a health maintenance organization.

      2.  In addition to the provisions of this chapter, each managed care organization shall comply with:

      (a) The provisions of chapter 686A of NRS, including all obligations and remedies set forth therein; and

      (b) Any other applicable provision of this title.

      3.  The provisions of NRS 695G.164, 695G.1645, 695G.200 to 695G.230, inclusive, and 695G.430 do not apply to a managed care organization that provides health care services to recipients of Medicaid under the State Plan for Medicaid or insurance pursuant to the Children’s Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department of Health and Human Services. This subsection does not exempt a managed care organization from any provision of this chapter for services provided pursuant to any other contract.

      (Added to NRS by 1997, 302; A 2003, 783, 3371; 2009, 1477, effective January 1, 2011)