NRS 695D.216
Required provision concerning coverage for services provided through telehealth.


1.

A plan for dental care must include coverage for services provided to a member through telehealth to the same extent as though provided in person or by other means.

2.

An organization for dental care shall not:

(a)

Require a member to establish a relationship in person with a provider of health care or provide any additional consent to or reason for obtaining services through telehealth as a condition to providing the coverage described in subsection 1;

(b)

Require a provider of health care to demonstrate that it is necessary to provide services to a member through telehealth or receive any additional type of certification or license to provide services through telehealth as a condition to providing the coverage described in subsection 1;

(c)

Refuse to provide the coverage described in subsection 1 because of the distant site from which a provider of health care provides services through telehealth or the originating site at which a member receives services through telehealth; or

(d)

Require covered services to be provided through telehealth as a condition to providing coverage for such services.

3.

A plan for dental care must not require a member to obtain prior authorization for any service provided through telehealth that is not required for the service when provided in person. A plan for dental care may require prior authorization for a service provided through telehealth if such prior authorization would be required if the service were provided in person or by other means.

4.

The provisions of this section do not require an organization for dental care to:

(a)

Ensure that covered services are available to a member through telehealth at a particular originating site;

(b)

Provide coverage for a service that is not a covered service or that is not provided by a covered provider of health care; or

(c)

Enter into a contract with any provider of health care or cover any service if the organization for dental care is not otherwise required by law to do so.

5.

A plan for dental care subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2015, has the legal effect of including the coverage required by this section, and any provision of the plan or the renewal which is in conflict with this section is void.

6.

As used in this section:

(a)

“Distant site” has the meaning ascribed to it in NRS 629.515.

(b)

“Originating site” has the meaning ascribed to it in NRS 629.515.

(c)

“Provider of health care” has the meaning ascribed to it in NRS 439.820.

(d)

“Telehealth” has the meaning ascribed to it in NRS 629.515.

Source: Section 695D.216 — Required provision concerning coverage for services provided through telehealth., https://www.­leg.­state.­nv.­us/NRS/NRS-695D.­html#NRS695DSec216.

695D.010
Definitions.
695D.020
“Commissioner” defined.
695D.030
“Dental care” defined.
695D.040
“Dentist” defined.
695D.050
“Member” defined.
695D.060
“Organization for dental care” defined.
695D.070
“Plan for dental care” defined.
695D.080
“Policy” defined.
695D.090
Applicability.
695D.095
Applicability of other provisions to organizations for dental care.
695D.100
Regulations of Commissioner.
695D.102
Summary of coverage: Contents of disclosure
695D.104
Summary of coverage: Copy to be provided before policy issued
695D.110
Certificate of authority: Required for plan for dental care.
695D.120
Certificate of authority: Application.
695D.130
Certificate of authority: Issuance.
695D.140
Certificate of authority: Notice of change of information
695D.150
Certificate of authority: Expiration
695D.153
Capital account: Minimum amount
695D.157
Hazardous financial condition: Regulations
695D.160
Composition of board of directors for organization for dental care.
695D.170
Bond or deposit required
695D.180
Bond payable to State
695D.190
Fiduciary responsibilities
695D.200
Policy: Issuance
695D.203
Group plan issued to replace discontinued policy or coverage: Requirements
695D.205
Copayments and deductibles.
695D.210
Coverage for newly born and adopted children and children placed for adoption.
695D.215
Claims: Approval or denial
695D.216
Required provision concerning coverage for services provided through telehealth.
695D.217
Organization for dental care prohibited from denying coverage solely because person was victim of domestic violence.
695D.219
Organization for dental care prohibited from denying coverage solely because member was intoxicated or under the influence of controlled substance
695D.220
Licensing of agents.
695D.225
Contracts between organization for dental care and dentist: Modification
695D.227
Prohibition of setting of fees by plan or organization for dental care other than covered services to members.
695D.230
Approval of advertising or materials used to solicit members.
695D.240
Limitation on expenses for marketing and administration.
695D.250
Reserves
695D.260
Annual report, financial statement and tax
695D.270
Examination of organization by Commissioner.
695D.280
Rehabilitation, liquidation or conservation.
695D.290
Trade practices and frauds.
695D.300
Disciplinary actions
695D.310
Notice of disciplinary action
Last Updated

Jun. 24, 2021

§ 695D.216’s source at nv​.us