NRS695D.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.

      (Added to NRS by 2011, 2536; A 2013, 1240)