Current through December 12, 2024
1. Except as otherwise provided in sections
21 and 22, the Department will only accept historical data which:
(a) Passes the validation described in
subsection 2; and
(b) Is submitted
by the deadline prescribed by section 17 for the submission of historical
data.
2. When conducting
a validation pursuant to paragraph (a) of subsection 1, the administrator shall
use a process that meets the requirements of this section to ensure that the
format and content of the historical data submitted by data submitters are
valid and complete.
The process must include, without limitation:
(a) A field-level audit conducted in
accordance with subsection 3 when historical data is submitted;
(b) A quality audit conducted to determine
whether the historical data meets the default threshold of reasonableness
prescribed pursuant to paragraph (b) of subsection 4; and
(c) The consolidation of the data and a
reasonableness, longitudinal and relational audit of the consolidated data to
confirm whether the submission contains the appropriate amount of historical
data for the number of persons covered by the data submitter.
3. A field-level audit conducted
pursuant to paragraph (a) of subsection 2 must:
(a) Determine whether the historical data
that is being audited is in the correct form and has been submitted using the
hashing algorithm prescribed and provided pursuant to section 19; and
(b) Evaluate whether the field length and
type, code values and the percentage of the fields that are filled meet the
thresholds for completeness and content prescribed pursuant to paragraph (a) of
subsection 4.
4. The
administrator shall prescribe:
(a) For use in
each field-level audit conducted pursuant to paragraph (a) of subsection 2,
acceptable thresholds for the completeness and content of each element of
historical data submitted by a data submitter; and
(b) For use in each quality audit conducted
pursuant to paragraph (b) of subsection 2, a threshold for the reasonableness
of the historical data, which may be expressed as a rate or a range.
5. When prescribing thresholds
pursuant to subsection 4, the administrator shall initially assume that the
acceptable threshold for each element is 100 percent but may establish a lower
threshold upon determining that a threshold of 100 percent would be
inappropriate for the element.
Added
to NAC by Dep't of Human Resources by
R104-23A,
eff. 11/15/2024
NRS
439B.875
