Revises provisions relating to Medicaid. (BDR 38-291)

Existing federal and state law requires the Department of Health and Human Services to develop and administer a State Plan for Medicaid. (42 U.S.C. § 1396a; NRS 422.063, 422.270) Existing federal law requires a State Plan to include provisions for the oversight of providers of services under the State Plan. (42 U.S.C. § 1396a) Existing state law: (1) authorizes such a provider of services to request a hearing with the Division of Health Care Financing and Policy of the Department concerning an action taken against the provider; and (2) requires the Division to adopt regulations prescribing the procedures for such a hearing. (NRS 422.306) Existing regulations: (1) establish the actions taken against a provider for which the provider may request a hearing; and (2) require, with certain exceptions, that a provider submit a request for a hearing to the Division such that the Division receives the request not later than 90 calendar days after the date of the notice of the action for which a hearing is requested. (Medicaid Services Manual 3105.1) Section 1 of this bill requires a provider to request a hearing not later than 90 calendar days after the date of the notice of an action against the provider, unless the Division determines that extenuating circumstances exist. Section 1 additionally requires the Division to adopt regulations prescribing: (1) the actions on which a provider may request a hearing; and (2) the circumstances that constitute extenuating circumstances and which justify the submission of a request for a hearing later than 90 calendar days after the provider receives notice of an action against him or her. Section 2 of this bill requires the provisions of section 1, and any regulations adopted pursuant to section 1, to apply prospectively only to hearings requested on or after January 1, 2026.