Nevada
LLC
Website link to register:
https://www.nvsilverflume.gov/
Naming conventions
Cannot include restricted words like “Bank” or “Trust” without prior approval. Must include “Limited Liability Company,” “LLC,” or “L.L.C.” PLLCs apply to licensed professionals.
Licensing Requirements
Members must be licensed by the Nevada State Board of Medical Examiners. Malpractice insurance is mandatory. Certification for medical spas or alternative therapies may be required.
Required documentation for medical practices
Articles of Organization, Alternative Therapy Permits, Professional Licenses, Malpractice Insurance
Filing Fee: $425
Annual/Biennial Fee: $350
Additional Notes: Includes initial $200 business license fee. Annual list and business license renewal due by LLC’s anniversary date.
Medicaid
Program Name: Nevada Medicaid
Official Website: https://dhcfp.nv.gov/
Legislation: Nevada does not have specific DPC legislation; practices operate under general healthcare and insurance laws.
Private Contracting
Permitted; DPC practices should ensure compliance with state insurance regulations to avoid being classified as insurers.
Restrictions
No explicit restrictions for DPC providers; compliance with federal and state regulations is necessary.
Medicaid Program
Nevada Medicaid provides health coverage to eligible low-income residents, including children.
Notification Requirements
Notification strongly recommended for Medicaid patient clarity.
Provider Enrollment Requirements
Providers must enroll with Nevada Medicaid to serve beneficiaries directly or offer reimbursable services.
Enrollment Options
No "Ordering and Referring Only" status available.
Ordering, Referrals, and Testing
Non-enrolled providers may face challenges with Medicaid recognition for orders and referrals.
Designated PCP Restrictions
DPC physicians cannot act as Medicaid-designated PCPs.
Billing and Reimbursement
DPC practices typically do not bill Medicaid for services covered under private agreements.
Managed Care Plan Exemptions
Not specified.
Billing Clarity
Cannot bill Medicaid patients for covered services unless explicitly outlined.
CMS Guidance
CMS encourages streamlined enrollment for non-billing providers.
Opportunities for Collaboration
Opportunities may exist to collaborate with Medicaid Managed Care Organizations (MCOs) or state programs aimed at increasing access to primary care.
State-Specific Notes
Collaboration opportunities exist with Nevada Medicaid Managed Care Organizations for primary care expansion.
Dispensing Medication
Board of Pharmacy Official Link: https://bop.nv.gov/
State Licensing
Physicians must register with the Nevada State Board of Pharmacy to dispense controlled substances.
Scope of Practice
Dispensing medications is allowed for non-controlled and controlled substances under state law.
Inventory Management
Inventory tracking and secure storage are mandatory for all medications.
Record-Keeping
Records must comply with Nevada state and federal regulations, including HIPAA.
Dispensing Standards
Labels must meet Nevada Board of Pharmacy standards, including usage instructions and prescriber details.
Controlled Substances
DEA registration and reporting to Nevada’s PMP are mandatory for controlled substances.
Billing and Reimbursement
Physicians must adhere to Nevada billing practices and federal Stark Law regulations.
Federal Compliance
Compliance with federal FDA, DEA, and OSHA standards is required.
State Pharmacy Laws
Registration with the Nevada Board of Pharmacy is required for dispensing controlled substances.
Patient Consent
Informed consent must be obtained before dispensing medications.
Insurance and Liability
Liability insurance must explicitly cover risks associated with dispensing medications.
Training Requirements
Nevada encourages continuing education for compliance with controlled substances regulations.
Audits and Inspections
The Nevada Board of Pharmacy conducts regular inspections; penalties apply for non-compliance.