Nevada Administrative Code
Chapter 439B - RESTRAINING COSTS OF HEALTH CARE
Section 439B.Sec. 17 - NEW

Universal Citation: NV Admin Code 439B.Sec. 17

Current through December 12, 2024

1. In addition to the entities described in subsection 1 of NRS 439B.840, Medicaid and the Children's Health Insurance Program shall submit historical data to the allpayer claims database.

2. Each data submitter shall submit to the all-payer claims database in accordance with sections 14 to 23, inclusive the following historical data, to the extent applicable:

(a) Files of claims for covered medical services, including, without limitation, covered behavioral health services.

(b) Files of claims for covered pharmacy services.

(c) Files of claims for covered dental services.

(d) Files containing data relating to the eligibility for coverage and demographics of covered persons.

(e) Files containing data relating to providers of health care.

3. A data submitter shall submit historical data in the format prescribed by the All-Payer Claims Database - Common Data Layout, adopted by reference in section 15.

4. A data submitter shall submit historical data through:

(a) The portal for collection of historical data for the all-payer claims database which is managed by the administrator; or

(b) A secure file transfer protocol site which is hosted by the administrator.

5. Each data submitter shall submit historical data for each calendar quarter not later than the first business day of the second month following the end of that calendar quarter.

6. The first time a data submitter submits historical data to the all-payer claims database, the data submitter shall submit historical data for the 3 calendar years immediately preceding that initial submission of historical data.

Added to NAC by Dep't of Human Resources by R104-23A, eff. 11/15/2024

NRS 439B.875

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