Nev. Admin. Code § 439B.Sec. 22 - NEW
1. A data submitter may request an extension
of time to submit historical data to the all-payer claims database for a period
of time for which the data submitter is unable to comply with the deadline
prescribed by section 17.
2. A
request for an extension made pursuant to this section must be submitted to the
Department and include:
(a) A detailed
explanation of the reason the data submitter is unable to comply with the
requirement to submit historical data to the all-payer claims database by the
deadline prescribed by section 17 for the submission of historical data to be
accepted for that calendar quarter; and
(b) The period of time for which the data
submitter is requesting an extension, not to exceed 1 calendar
quarter.
3. Except as
otherwise provided in this subsection, a request for an extension made pursuant
to this section must be submitted to the Department not less than 30 calendar
days before the first deadline to submit historical data to the all-payer
claims database to which the extension would apply. If a data submitter is
unable to submit a request for an extension to the Department on or before that
date, the data submitter must notify the Department in writing as soon as the
data submitter determines that an extension is necessary.
4. Upon receipt of a request for an extension
submitted pursuant to this section not less than 30 calendar days before the
first deadline to submit historical data to the all-payer claims database to
which the extension would apply, the Department will suspend the requirement
for the data submitter to submit historical data to the all-payer claims
database while the Department determines whether to approve or deny the
request. The Department may refuse to suspend that requirement if the request
is submitted after that date.
5.
Not later than 15 days after receipt of a request for an extension submitted
pursuant to this section, the Department will issue a written determination to
the data submitter notifying the data submitter whether the Department has
approved or denied the request.
6.
If the Department grants an extension, the written determination issued
pursuant to subsection 5 must specify the period of time for which the
extension has been granted.
7. If
the Department denies a request for an extension made pursuant to this section:
(a) The data submitter that submitted the
request shall comply with all applicable requirements to submit historical data
to the all-payer claims database. If the denial is issued after the first
deadline to submit historical data to the all-payer claims database to which
the requested extension would have applied, the data submitter shall comply
with all applicable requirements to submit historical data to the all-payer
claims database within 15 calendar days after the date on which the written
determination of denial was issued.
(b) Neither the data submitter nor any entity
on whose behalf the data submitter was required to submit historical data to
the all-payer claims database is entitled to a hearing on the denial. The
provisions of this paragraph do not affect the right of any person or entity to
a hearing pursuant to section 24 on a decision to impose an administrative
penalty for any attendant failure to comply with the provisions of
NRS
439B.800 to
439B.875, inclusive, and
sections 2 to 24, inclusive.
Notes
NRS 439B.875
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