AB 470
Revises provisions relating to prior authorization for medical or dental care under health insurance plans. (BDR 57-883)
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Sign in to take action- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to improve the process of obtaining prior authorization for medical and dental care under health insurance plans in Nevada. It requires insurers, including Medicaid and public employee plans, to clearly outline which services require prior authorization and the criteria used for review. The bill also mandates that insurers publish their procedures on their websites, respond to requests within specific timeframes (48 or 24 hours depending on urgency), and prohibits denying claims solely due to failure to obtain prior authorization when procedures weren't previously required. Furthermore, it restricts insurers from requiring earlier notification than the end of the business day following admission or service provision and prohibits denying medically necessary emergency services.
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