NAC439.500. Sliding schedule of fees for certain services and supplies not concerning family planning.

     1. Except as otherwise provided in NAC 442.222 for services and supplies concerning family planning, a community health nursing clinic established by the Division of Public and Behavioral Health shall charge and collect fees for the services and supplies provided to a client by a nurse of the Division in an amount set forth in the sliding schedule of fees established by the Division pursuant to this section.

     2. The Division of Public and Behavioral Health shall establish a sliding schedule of fees which is based on:

     (a) A cost analysis of the services and supplies provided by the community health nursing clinics; and

     (b) A ratio between the annual gross income of a household and the federally designated level signifying poverty for a household of that size as determined by the United States Department of Health and Human Services and published annually in the Federal Register.

     3. The Division of Public and Behavioral Health shall renew and, if necessary, revise the sliding schedule of fees established pursuant to this section:

     (a) According to generally accepted accounting principles; and

     (b) As needed, to account for modifications to:

          (1) The community health nursing program; and

          (2) The federally designated levels signifying poverty.

     4. The sliding schedule of fees established pursuant to this section and any revisions to the sliding schedule of fees become effective upon approval of the sliding schedule of fees by the State Board of Health.

     5. The Division of Public and Behavioral Health shall make the sliding schedule of fees established pursuant to this section available:

     (a) On the Internet website of the Division and in each community health nursing clinic; and

     (b) To any person upon request.

     6. If the annual gross income of the household of a client who is not able to pay a fee for services or supplies provided by a nurse of the Division of Public and Behavioral Health is less than the federally designated level signifying poverty, the community health nursing clinic shall not deny the services or supplies to the client.

     7. Except as otherwise provided in subsection 6, a community health nursing clinic may deny services or supplies to a client if the client has not paid a fee owed for services or supplies previously provided to the client from such a clinic.

     8. As used in this section, “household” means an association of persons who live together as a single economic unit, regardless of whether they are related.

     (Added to NAC by Bd. of Health, eff. 10-14-82; A 7-16-85, eff. 8-1-85; 1-31-90; 9-6-91; 9-1-93; R038-97, 10-30-97; R118-03, 12-4-2003; R145-11, 5-30-2012)