Office for Consumer Health Assistance (OCHA)

New!

• NEW: Adopted Regulation R101-19
• UPDATED: Request for Arbitration Application - Claims UNDER $5,000 (Rev. 7/20/22)
• UPDATED: Third-Party Election to Participate (Opt-In) in NRS 439B.757 Application (Rev. 7/18/2022)
• *** Cost of Arbitrator Notice 7/7/22 ***
• Resumption of Medicaid Renewals

AB469, NRS 439B.700-NRS439B.760

Also known as proposed regulation in Nevada Administrative Code (NAC) Chapter 439B, relating to disputes between third-party insurers and out-of-network providers over payment of medically necessary emergency services in LCB File No. R101-19.

• *** NEW: Cost of Arbitrator Notice 7/7/22 ***
• Arbitration Costs Effective 6/3/2022
• AB469: OCHA Policy and Procedure (6/18/2020)
• Department of Health and Human Services Office for Consumer Health Assistance Payment for Medically Necessary Emergency Services Provided Out-of-Network 2021 Annual Report
• Election by Entities and Organizations not Otherwise Covered to Submit to Provisions of 439B.700 to 439B.760 (Opt-In) (Rev. 10/10/2022)

Notice of Intent to Act Upon a Regulation August 18, 2022

• Notice of Public Hearing 08/18/2022
• NAC Chapter 439B Hearing Minutes
• LCB File No. R101-19
• AB469 Regulations Public Hearing Comments
• NAC 439B Small Business Impact Statement

Public Informational Session August 28, 2019

• Notice of Public Workshop 08/28/2019
• Video Minutes of Public Workshop

Public Workshop February 4, 2020

• Draft Regulations 01/06/2020 Version
• Small Business Impact Survey Results 01/21/2020 (Certified)
• Public Comment Correspondence
• Notice of Public Workshop 02/04/2020
• Video Minutes of Public Workshop

Public Workshop December 14, 2021

• Revised Draft Regulations 09/09/2021
• Small Business Impact Survey Responses 11/15/2021 (Certified)
• Public Comment Letters
• Notice of Public Workshop 12/14/2021
• Minutes of Public Workshop

Additional Resources

• About Us
• Bureau for Hospital Patients (BHP)
• External Review
• Nevada Workers' Compensation Information
• Resources

CONTACT

• cha@govcha.nv.gov

NRS 439B.700 (AB 469) Forms

• - Request for Arbitration Claims Under $5,000 - INSTRUCTIONS
• - Request for Arbitration Application - Claims UNDER $5,000 (Rev. 7/20/22)
• - Request for Arbitration Application - Claims OVER $5,000
• - Third-Party Election to Participate (Opt-In) in NRS 439B.757 Application (Rev. 7/18/2022)
• - Third-Party Withdrawal of Participation (Opt-Out) from NRS 439B.757 Application (Rev. 4/24/2020)
• - ANNUAL REPORTING: Provider & Third Party Year-End Reporting Form (NRS 439B.760) (Rev. 10/5/2020)

NRS 687B.675 (AB 170) Forms

• - ANNUAL REPORTING: Health Carrier Annual Reporting Form (NRS 687B.675 (1)(a))
• - ANNUAL REPORTING: Health Carrier Annual Reporting Form (NRS 687B.675 (1)(b))

NRS 439B.760 (1) - Arbitrator Reporting Forms

• - ANNUAL ARBITER REPORTING: - Claims OVER $5,000