NAC449.99937. Denial of payments for new admissions generally.

     1. The Bureau may request the Division of Health Care Financing and Policy to deny Medicaid payment to a facility for new admissions if:

     (a) The facility does not substantially correct the deficiencies within 90 days or within the time required by federal Medicaid law after the facility is notified by the Bureau of the deficiencies; or

     (b) The Bureau has cited a facility with substandard quality of care (severity score of level three or more and scope of level three) on two of the last three consecutive standard surveys.

     2. If the facility achieves and maintains compliance with the requirements, the Bureau shall request the Division of Health Care Financing and Policy to resume payments to the facility prospectively, effective on the date compliance was achieved.

     (Added to NAC by Bd. of Health, eff. 8-1-91; A by R051-02, 7-24-2002)