Nevada Revised Statutes Title 57. Insurance § 689A.0428. Coverage for management and treatment of sickle cell disease

(a) Necessary case management services for an insured diagnosed with sickle cell disease and its variants;  and

(b) Medically necessary care for an insured who has been diagnosed with sickle cell disease and its variants.

(a) “Case management services” means medical or other health care management services to assist patients and providers of health care, including, without limitation, identifying and facilitating additional resources and treatments, providing information about treatment options and facilitating communication between providers of services to a patient.

(b) “Medical management technique” means a practice which is used to control the cost or utilization of health care services.  The term includes, without limitation, the use of step therapy, prior authorization or categorizing drugs and devices based on cost, type or method of administration.

(c) “Medically necessary” has the meaning ascribed to it in NRS 695G.055.

(d) “Sickle cell disease and its variants” has the meaning ascribed to it in NRS 439.4927.