Carrier that offers coverage through network plan: Contracts with certain federally qualified health centers.
1. A carrier that offers coverage through a network plan shall use its best efforts to contract with at least one health center in each established geographic service area of the carrier or geographic area for which the carrier is authorized to transact insurance to provide medical care for enrollees if the health center:
(a) Meets all conditions imposed by the carrier on similarly situated providers of health care with which the carrier contracts, including, without limitation:
(1) Certification for participation in the Medicaid or Medicare program; and
(2) Requirements relating to the appropriate credentials for providers of health care; and
(b) Agrees to reasonable reimbursement rates that are generally consistent with those offered by the carrier to similarly situated providers of health care with which the carrier contracts.
2. As used in this section:
(a) “Health center” has the meaning ascribed to it in 42 U.S.C. § 254b.
(b) “Network plan” has the meaning ascribed to it in NRS 689B.570.
Last modified: February 27, 2006