NRS 695G.177 Required provision in plans covering treatment of prostate cancer concerning coverage for prostate cancer screening; prohibited acts.

202 words·~1 min read·/nv/chapter-695g-managed-care/695g-177

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

1. A health care plan issued by a managed care organization that provides coverage for the treatment of prostate cancer must provide coverage for prostate cancer screening in accordance with:

(a)The guidelines concerning prostate cancer screening which are published by the American Cancer Society; or

(b)Other guidelines or reports concerning prostate cancer screening which are published by nationally recognized professional organizations and which include current or prevailing supporting scientific data.

2. A health care plan issued by a managed care organization that provides coverage for the treatment of prostate cancer must not require an insured to obtain prior authorization for any service provided pursuant to subsection 1.

3. Any evidence of coverage for a health care plan issued by a managed care organization that provides coverage for the treatment of prostate cancer which is delivered, issued for delivery or renewed on or after July 1, 2007, has the legal effect of including the coverage required by subsection 1, and any provision of the evidence of coverage or the renewal which is in conflict with subsection 1 is void.

QUALITY ASSURANCE PROGRAM