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Bill would set 90‑day limit for Medicaid provider appeals, sponsor says
Summary
Assembly Bill 36 would align Nevada statute with the Medicaid policy manual to require providers to seek administrative appeals within 90 days; Division of Healthcare Financing and Policy presented the bill and the committee recorded no public testimony.
Stacy Weeks, administrator of the Division of Healthcare Financing and Policy, told the Assembly Health and Human Services Committee that Assembly Bill 36 would amend state law to align provider appeal timelines with the division’s policy manual and require providers to file appeals within 90 days.
Weeks said the change responds to cases in which providers waited years to appeal division decisions and that the proposed 90‑day period will provide clearer timelines for providers and aid the Attorney General’s Office when litigating or defending appeals. "We've had situations where providers have waited years to seek an appeal, and that can be challenging," Weeks said.
Weeks told the committee the proposed timeline would cover appeals for a range of provider actions, including payment disputes and provider disenrollment from Medicaid. She said the division consulted with the deputy attorney general and the legal team recommended a statutory clarification.
The committee opened the public hearing on AB 36 and solicited testimony in Carson City, Las Vegas and by phone. The record shows no callers and no in‑room witnesses in support or opposition; the division’s administrator closed the presentation with no additional remarks.
Ending: The committee recorded the presentation and closed the hearing on AB 36 without public testimony; no vote was taken during the hearing record provided.
