NRS 695D.225
Contracts between organization for dental care and dentist: Modification

  • submission of schedule of payments upon request.

1.

Except as otherwise provided in NRS 695D.227, a contract between an organization for dental care and a dentist may be modified:

(a)

At any time pursuant to a written agreement executed by both parties.

(b)

Except as otherwise provided in this paragraph, by the organization for dental care upon giving to the dentist 45 days’ written notice of the modification of the organization for dental care’s schedule of payments, including any changes to the fee schedule applicable to the dentist’s practice. If the dentist fails to object in writing to the modification within the 45-day period, the modification becomes effective at the end of that period. If the dentist objects in writing to the modification within the 45-day period, the modification must not become effective unless agreed to by both parties as described in paragraph (a).

2.

If an organization for dental care contracts with a dentist, the organization for dental care shall:

(a)

If requested by the dentist at the time the contract is made, submit to the dentist the schedule of payments applicable to the dentist; or

(b)

If requested by the dentist at any other time, submit to the dentist the schedule of payments, including any changes to the fee schedule applicable to the dentist’s practice, specified in paragraph (a) within 7 days after receiving the request.

3.

The provisions of this section do not apply to an organization for dental care that provides services to recipients of Medicaid under the State Plan for Medicaid or insurance pursuant to the Children’s Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department of Health and Human Services. This subsection does not exempt an organization for dental care from any provision of this chapter for services provided pursuant to any other contract.

Source: Section 695D.225 — Contracts between organization for dental care and dentist: Modification; submission of schedule of payments upon request., https://www.­leg.­state.­nv.­us/NRS/NRS-695D.­html#NRS695DSec225.

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.225’s source at nv​.us