NAC442.780. Denial of medical services: Notification of applicant or client; procedure for review of denial and appeal of decision of Bureau.

     1. If a program specialist determines that:

     (a) An applicant for services under the program does not meet the requirements for eligibility;

     (b) A client receiving services under the program no longer meets those requirements; or

     (c) The eligibility of a client must be terminated in accordance with NAC 442.765,

Ê the program specialist shall notify the applicant or client in writing of the reason why the services will not be provided.

     2. The applicant or client may request a review of the denial of services under the program by submitting a written request to the Bureau within 30 days after receiving notice of that denial.

     3. If the Bureau receives a request for a review pursuant to subsection 2, it shall issue a written decision and notify the applicant or client, in writing, of its decision.

     4. The applicant or client may appeal the decision of the Bureau in the manner prescribed in NAC 439.190 to 439.395, inclusive.

     (Added to NAC by Bd. of Health, eff. 11-27-89; A 10-30-97; R212-97, 7-23-98)