Office for Consumer Health Assistance (OCHA)

New!

• *** Arbitration Costs Effective 6/3/2022 ***
• 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: 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. 4/28/2022)

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
• 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
• 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. 9/4/2020)
• Request for Arbitration Application - Claims OVER $5,000
• Third-Party Election to Participate (Opt-In) in NRS 439B.757 Application (Rev. 11/9/2020)
• 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

OCHA Forms/Publications

• OCHA Request for Assistance (English) Rev. 10/2020
• OCHA Solicitud para Asistencia (Español) Rev. 10/2020