1. A self-insured employer, an association of self-insured public or private employers or a private carrier may: (a) Except as otherwise provided in NRS 616B.5273, enter into a contract or contracts with one or more organizations for managed care to provide comprehensive medical and health care services to employees for injuries and diseases that are […]
1. A self-insured employer, an association of self-insured public or private employers or a private carrier shall not enter into a contract with an organization for managed care unless the organization’s proposed plan for providing medical and health care services: (a) Will provide all medical and health care services that may be required for industrial […]
An organization for managed care shall not restrict or interfere with any communication between a provider of health care and an injured employee regarding any information that the provider of health care determines is relevant to the health care of the injured employee. (Added to NRS by 1999, 2212)
An organization for managed care shall not terminate a contract with, demote, refuse to contract with or refuse to compensate a provider of health care solely because the provider, in good faith: 1. Advocates in private or in public on behalf of an injured employee; 2. Assists an injured employee in seeking reconsideration of a […]
1. An organization for managed care shall not offer or pay any type of material inducement, bonus or other financial incentive to a provider of health care to deny, reduce, withhold, limit or delay specific medically necessary medical or health care services to an injured employee. 2. The provisions of this section do not prohibit […]
