AB290

Nevada AB290 revises prior authorization requirements for medical and dental care under health insurance plans, including Medicaid and CHIP.

Nevada AB290 revises prior authorization requirements for medical and dental care under health insurance plans, including Medicaid and the Children’s Health Insurance Program (CHIP). It mandates that insurers publish their procedures for obtaining prior authorization, including clinical review criteria, on their websites. Insurers must approve or make adverse determinations on requests within five days for non-urgent care and 24 hours for urgent care. The bill prohibits insurers from denying coverage for medically necessary emergency services and requires them to establish an appeals process.