NRS 232.49923 Deputies and officers of administrators of divisions.

429 words·~2 min read·/nv/chapter-232-state-departments/232-49923·

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

1. The Administrator of the Health Care Purchasing and Compliance Division shall appoint, with the consent of the Director:

(a)The Deputy Administrator of Licensure and Compliance, who shall administer activities related to the licensure and inspection of facilities and providers of health care regulated by the Authority;

(b)The Deputy Administrator of Fraud and Waste Prevention, who shall serve as the executive head of the Office of the Medicaid Inspector General created by NRS 422.101 ; and

(c)The Regulatory and Compliance Counsel, who:

(1)Must be an attorney admitted to practice law in one of the United States who is knowledgeable and experienced concerning the performance of the activities described in subparagraph (2); and

(2)Shall ensure the compliance of all programs and activities of the Authority with relevant state and federal laws.

2. The Administrator of the Medicaid Division may appoint, with the consent of the Director:

(a)Two deputy administrators who shall assist in the administration of Medicaid and the Children’s Health Insurance Program, including, without limitation:

(1)The daily operations of Medicaid and the Children’s Health Insurance Program;

(2)The management of services for recipients of Medicaid and the Children’s Health Insurance Program;

(3)The development of coverage and the delivery of covered benefits under Medicaid and the Children’s Health Insurance Program;

(4)Compliance with state and federal law governing Medicaid and the Children’s Health Insurance Program;

(5)Oversight of billing and the payment of claims under Medicaid and the Children’s Health Insurance Program; and

(6)Collaboration with the Federal Government relating to Medicaid and the Children’s Health Insurance Program; and

(b)The following clinical officers:

(1)The Senior Pharmacy Officer, who:

(I)Must hold an active license to practice pharmacy in this State; and

(II)Shall oversee the development of pharmacy benefits under Medicaid and the Children’s Health Insurance Program and assist in carrying out the provisions of NRS 422.401 to 422.406 , inclusive; and

(2)The Medical Director, who:

(I)Must hold an active license to engage in the practice of medicine or osteopathic medicine in this State; and

(II)Shall provide clinical advice and guidance to the Administrator and his or her deputies to support the development of benefits, the review of claims and the processing of appeals for Medicaid and the Children’s Health Insurance Program.

3. The officers appointed pursuant to this section:

(a)Are in the unclassified service of the State; and

(b)Serve at the pleasure of the appointing administrator and are subject to the supervision of that administrator.