1. When a recipient of Medicaid or a recipient of insurance provided pursuant to the Children’s Health Insurance Program incurs an illness or injury for which medical services are payable by the Department and which is incurred under circumstances creating a legal liability in some person other than the recipient or a division of the Department to pay all or part of the costs of such medical services, the Department is subrogated to the right of the recipient to the extent of all such medical costs and may join or intervene in any action by the recipient or any successors in interest to enforce such legal liability.
2. If a recipient or any successors in interest fail or refuse to commence an action to enforce the legal liability, the Department may commence an independent action, after notice to the recipient or successors in interest, to recover all medical costs to which it is entitled. In any such action by the Department, the recipient or successors in interest may be joined as third-party defendants.
3. In any case where the Department is subrogated to the rights of the recipient or any successors in interest as provided in subsection 1, the Department has a lien upon the proceeds of any recovery from the persons liable, whether the proceeds of the recovery are by way of judgment, settlement or otherwise. Such a lien must be satisfied in full, unless reduced pursuant to subsection 4, at such time as:
(a) The proceeds of any recovery or settlement are distributed to or on behalf of the recipient, the successors in interest or the attorney of the recipient; and
(b) A dismissal by any court of any action brought to enforce the legal liability established by subsection 1.
4. If the Department receives notice pursuant to NRS 422.293001, the Director or a representative designated by the Director may, in consideration of the legal services provided by an attorney to procure a recovery for the recipient, reduce the lien on the proceeds of any recovery.
5. The attorney of a recipient shall not condition the amount of attorney’s fees or impose additional attorney’s fees based on whether a reduction of the lien is authorized by the Director or a designated representative pursuant to subsection 4.
(Added to NRS by 1981, 1909; A 1989, 757; 1993, 923; 1997, 1239, 2624; 1999, 2228, 2242; 2007, 2390)
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.