NV SB9

Insurers and health coverage providers must respond to state agency inquiries regarding Medicaid claims within 60 days of receiving the inquiry, replacing the previous requirement to simply respond within 3 years of service provision.

Insurers cannot deny Medicaid claims solely for lack of prior authorization if the state agency authorized the medical item or service.

Applies to individual health insurance, group health policies, fraternal benefit societies, hospital/medical service corporations, health maintenance organizations, and prepaid limited health service organizations.

Aligns Nevada law with Section 202 of the federal Consolidated Appropriations Act, 2022 (42 U.S.C. § 1396a) regarding third-party liability for Medicaid claims.

Becomes effective upon passage and approval.