General Provisions

NAC 439.750. Short title.

NAC 439.751. Definitions.

NAC 439.752. “Applicant” defined.

NAC 439.753. “Contractor” defined.

NAC 439.754. “Coordination of benefits” defined.

NAC 439.755. “Department” defined.

NAC 439.756. “Disability” defined.

NAC 439.757. “Enrollee” defined.

NAC 439.758. “Hearing officer” defined.

NAC 439.759. “Household” defined.

NAC 439.760. “Household income” defined.

NAC 439.761. “Income” defined.

NAC 439.762. “Medicare Advantage plan with prescription drug coverage” and “MA-PD” defined.

NAC 439.763. “Medicare Part D” defined.

NAC 439.764. “Open enrollment” defined.

NAC 439.765. “Prescription drug plan” and “PDP” defined.

NAC 439.766. “Subsidy” defined.

NAC 439.767. “Traditional Disability Prescription Program” defined.

Application and Eligibility

NAC 439.768. Eligibility for traditional benefits.

NAC 439.769. Eligibility for coordination of benefits.

NAC 439.770. Request for information.

NAC 439.771. Requirements for application; request for waiver of eligibility requirement regarding household income.

NAC 439.772. Notice of approval or denial of application; notice of name of new enrollee.

NAC 439.773. Order of priority if there is insufficient money available; qualifying hardship; granting of subsidy to applicant on waiting list if sufficient money becomes available.

NAC 439.774. Calculation of household income; eligibility for subsidy if maximum household income exceeded.

NAC 439.775. Information and documentation: Cooperation with Department; updating.

NAC 439.776. Continuing eligibility; annual review.

NAC 439.777. Discontinuation of subsidy to enrollee: Request by enrollee; ineligibility of enrollee; granting of subsidy to applicant on waiting list if enrollee determined ineligible.

NAC 439.778. Notice to enrollee of determination regarding ineligibility.

Hearings

NAC 439.779. Request for hearing; scheduling of hearing.

NAC 439.780. Continuation of benefits pending outcome of hearing.

NAC 439.781. Denial of request for hearing; request for dismissal.

NAC 439.782. Testimony under oath.

NAC 439.783. Conducting hearing in person; representation; evidence.

NAC 439.784. Conducting hearing by telephone.

NAC 439.785. Retention of record.

NAC 439.786. Official recording of hearing; request for copy.

NAC 439.787. Decision of hearing officer.

NAC 439.788. Duties of Department if decision of Department is overturned by hearing officer.

Miscellaneous Provisions

NAC 439.789. Recoupment of subsidy paid in error; request by enrollee for waiver or reduction of amount required to be returned.

NAC 439.790. Confidentiality of records.