1. To the extent practicable, the Division shall require a managed care organization, including, without limitation, a health maintenance organization, that provides behavioral health services to recipients of Medicaid under the State Plan for Medicaid or the Children’s Health Insurance Program pursuant to a contract with the Division to prepare and implement a plan to ensure that such services are provided in a culturally competent manner.
2. A plan to ensure that behavioral health services are provided in a culturally competent manner must be approved by the Division and must include, without limitation:
(a) Identification of disparities in the incidence of behavioral health problems, in access to or usage of behavioral health services and in behavioral health outcomes based on race, color, ancestry, national origin, disability, familial status, sex, sexual orientation, gender identity or expression, immigration status, primary language and income level, to the extent that data is available to identify such disparities;
(b) Strategies for reducing the disparities identified pursuant to paragraph (a) and the rationale for each strategy;
(c) Mechanisms and goals to measure the effectiveness of the strategies prescribed pursuant to paragraph (b) and, if applicable, the degree to which the managed care organization has achieved goals set forth in previous plans;
(d) Strategies for addressing trauma and providing services in a trauma-informed manner; and
(e) Strategies for soliciting input from persons to whom the managed care organization provides services and other interested persons.
3. If the Division requires a managed care organization to prepare and implement a plan to ensure that behavioral health services are provided in a culturally competent manner, the managed care organization must:
(a) Establish, through an open invitation, a committee of interested persons for the purpose of conducting an ongoing review of the plan. The committee must include, without limitation, state and local government officers and employees, consumers of behavioral health services, advocates for consumers of behavioral health services, experts on reducing disparities in behavioral health and providers of behavioral health services.
(b) Biennially update the plan to reflect changes in the population served by the managed care organization and submit the updated plan to the Division for approval and for technical assistance and feedback concerning the implementation of the plan.
(c) Post the plan and each updated version of the plan on a publicly available Internet website.
(d) Biennially compile, submit to the Division and post publicly on the Internet a report concerning the degree to which the managed care organization has achieved or is progressing toward achieving the goals set forth pursuant to paragraph (c) of subsection 2.
4. A committee established pursuant to paragraph (a) of subsection 3 must meet at least quarterly. Such meetings:
(a) May be conducted remotely or in person; and
(b) Must be open to the public.
5. The Department and the Division shall provide a managed care organization with any demographic information or technical assistance necessary to carry out the requirements imposed pursuant to this section. A managed care organization may solicit any information necessary to carry out the requirements imposed pursuant to this section from persons who receive behavioral health services from the plan.
6. As used in this section, "trauma-informed manner" means a manner that:
(a) Is informed by knowledge of and responsiveness to the effects of trauma;
(b) Emphasizes physical, psychological and emotional safety for persons receiving services; and
(c) Creates opportunities for a person affected by trauma to rebuild a sense of control and empowerment.
(Added to NRS by 2021, 2705)
Structure Nevada Revised Statutes
Chapter 422 - Health Care Financing and Policy
NRS 422.003 - "Administrator" defined.
NRS 422.021 - "Children’s Health Insurance Program" defined.
NRS 422.030 - "Department" defined.
NRS 422.040 - "Director" defined.
NRS 422.041 - "Division" defined.
NRS 422.046 - "Medicaid" defined.
NRS 422.050 - "Public assistance" defined.
NRS 422.054 - "Undivided estate" defined.
NRS 422.061 - Purposes of Division.
NRS 422.151 - Creation; function.
NRS 422.153 - Composition; terms and compensation of members.
NRS 422.155 - Chair; Secretary; meetings; subcommittees.
NRS 422.175 - "Reinvestment advisory committee" defined. [Effective January 1, 2022.]
NRS 422.195 - Chair; meetings; subcommittees; quorum. [Effective January 1, 2022.]
NRS 422.205 - Duties; report. [Effective January 1, 2022.]
NRS 422.2354 - Qualifications.
NRS 422.2356 - Executive Officer of Division; administration and management of Division.
NRS 422.2357 - Administration of chapter.
NRS 422.2366 - Administration of oaths; testimony of witnesses; subpoenas.
NRS 422.2368 - Adoption of regulations.
NRS 422.2369 - Procedure for adopting, amending or repealing regulations.
NRS 422.240 - Legislative appropriations; disbursements.
NRS 422.260 - Acceptance of Social Security Act and related federal money.
NRS 422.265 - Acceptance of increased benefits of future congressional legislation; regulations.
NRS 422.267 - Contract or agreement with Federal Government by Director.
NRS 422.270 - Duties of Department regarding Medicaid and Children’s Health Insurance Program.
NRS 422.2704 - Review of and recommendations concerning rates of reimbursement.
NRS 422.2712 - Reporting of certain rates of reimbursement for physicians.
NRS 422.27238 - State Plan for Medicaid: Reimbursement for crisis stabilization services.
NRS 422.272407 - State Plan for Medicaid: Reimbursement of recipients for personal care services.
NRS 422.27247 - Application for federal waiver to provide certain dental care for certain persons.
NRS 422.2748 - Cooperation with Medicaid Fraud Control Unit.
NRS 422.27482 - Report concerning provision of health benefits by large employers.
NRS 422.275 - Legal advisers for Division.
NRS 422.2775 - Hearing: Evidence.
NRS 422.278 - Hearing: Person with communications disability entitled to services of interpreter.
NRS 422.291 - Assistance not assignable or subject to process or bankruptcy law.
NRS 422.292 - Assistance subject to future amending and repealing acts.
NRS 422.293005 - Subrogation: Liability for failure to comply with provisions.
NRS 422.29306 - Imposition and release of lien on property of recipient of Medicaid.
NRS 422.308 - Family planning service; birth control.
NRS 422.362 - "Cardholder" defined.
NRS 422.363 - "Medicaid card" defined.
NRS 422.365 - "Receives" defined.
NRS 422.369 - Unlawful acts: Fraud by person authorized to provide care to holder of card; penalty.
NRS 422.376 - "Facility for intermediate care" defined.
NRS 422.3765 - "Facility for skilled nursing" defined.
NRS 422.3771 - "Nursing facility" defined.
NRS 422.3775 - Fee: Payment; amount; due date; allowable cost for Medicaid reimbursement purposes.
NRS 422.378 - Report by nursing facility to Division.
NRS 422.37915 - "Account" defined.
NRS 422.3792 - "Agency to provide personal care services in the home" defined.
NRS 422.37925 - "Medical facility" defined.
NRS 422.3793 - "Operator" defined.
NRS 422.37935 - "Operator group" defined.
NRS 422.3805 - Federal waivers: Duties of Administrator.
NRS 422.390 - Regulations; quarterly report.
NRS 422.3964 - State Plan for Medicaid: Inclusion of certain home and community-based services.
NRS 422.4015 - "Board" defined.
NRS 422.402 - "Drug Use Review Board" defined.
NRS 422.4021 - Health benefit plan" defined.
NRS 422.4022 - "Health maintenance organization" defined.
NRS 422.4023 - "Pharmacy benefit manager" defined.
NRS 422.4024 - "Sickle cell disease and its variants" defined.
NRS 422.4035 - Silver State Scripts Board: Creation; membership.
NRS 422.404 - Silver State Scripts Board: Chair; terms; vacancies; meetings; quorum.
NRS 422.405 - Silver State Scripts Board: Duties and powers.
NRS 422.4056 - Audits of certain contracts; posting of audit results on Internet website.
NRS 422.406 - Regulations; contracts for services.
NRS 422.410 - Fraudulent acts; penalties.
NRS 422.460 - "Benefit" defined.
NRS 422.470 - "Claim" defined.
NRS 422.490 - "Provider" defined.
NRS 422.500 - "Recipient" defined.
NRS 422.510 - "Records" defined.
NRS 422.525 - "Statement or representation" defined.
NRS 422.530 - Responsibility for false claim, statement or representation.
NRS 422.540 - Offenses regarding false claims, statements or representations; penalties.