Nevada Administrative Code|Section 428.030 - Eligibility for reimbursement

                                                
 428.030. Eligibility for reimbursement 
 
A hospital is eligible to receive reimbursement for hospital care from the Fund only if all of the following requirements are met:
 
1. The patient's injuries are examined and recorded in a hospital within 15 days after the date of the accident.
 
2. The patient receives inpatient or outpatient care at the hospital.
 
3. The hospital makes timely efforts to collect the amount of charges for hospital care furnished. These efforts must include documented evidence of full or partial unavailability of the following sources of possible payment:
 
(a) Third persons contractually liable and adequate efforts to secure the patient's application for or compliance with the requirements of eligibility for payment.
 
(b) The patient's income.
 
(c) The patient's assets.
 
4. Unless waived by the Board of Trustees of the Fund, the hospital submits to the appropriate board of county commissioners, within 2 years after the patient is discharged, its request for a determination that the patient is an indigent person.
 
5. Unless waived by the Board of Trustees of the Fund, application for reimbursement is made by the hospital or hospitals providing the hospital care within 30 days after receipt of a certification of the patient's indigency from a county.
 
6. The hospital certifies the appropriateness of admission, length of stay, medical necessity and utilization of health care of the patient.
 
Added to NAC by Bd. of Trustees of Fund for Hosp. Care to Indigent Persons, eff. 4-17-84; A 6-20-90; R054-10, 10-15-2010
 
NRS 428.205