Nev. Admin. Code § 679B.Sec. 16 - NEW

If a network plan does not meet the standards required pursuant to section 9 of this regulation or any other requirement of sections 2 to 18, inclusive of this regulation and the Commissioner does not approve the corrective action plan submitted pursuant to section 15 of this regulation, the Commissioner may:

1. For a qualified health plan, determine that the network plan is inadequate pursuant to subsection 5 of NRS 687B.490; or

2. For any network plan other than a qualified health plan, determine that the network plan is inadequate pursuant to subsection 5 of NRS 687B.490 and require the carrier to submit a statement of network capacity to the Commissioner demonstrating that the carrier meets the conditions described in 42 U.S.C. § 300gg-1(c)(1)(B).

Notes

Nev. Admin. Code § 679B.Sec. 16

Added to NAC by by R025-17A, eff. 12/19/2017

NRS 679B.130, 687B.490, as amended by section 88 of Assembly Bill No. 83, chapter 376, Statutes of Nevada 2017, at page 2355.