Nevada Administrative Code
Chapter 695C - Health Maintenance Organizations; Provider-Sponsored Organizations
ADMINISTRATION OF ORGANIZATION
Section 695C.275 - Quality and performance indicators to be included in report of health maintenance organization

1. On or before March 1 of each year, each health maintenance organization which receives a certificate of authority shall file with the Commissioner the quality and performance indicators selected by the Commissioner for the immediately preceding calendar year. The Commissioner will select the indicators from the reporting set data domains set forth in Technical Specifications for Health Plans, Healthcare Effectiveness Data and Information Set (HEDIS), volume 2, in the form most recently published by the National Committee for Quality Assurance (NCQA), unless the Commissioner gives notice that the most recent revision is not suitable for this State pursuant to subsection 2. Volume 2 of HEDIS may be obtained from the National Committee for Quality Assurance, NCQA, 1100 13th Street N.W., Washington, D.C. 20005, for the price of $355 plus $33 for shipping and handling or by ordering via telephone at (888) 275-7585 or on the Internet at http://store.ncqa.org/

2. The Commissioner will review each revision of the reporting set data domains set forth in Technical Specifications for Health Plans, Healthcare Effectiveness Data and Information Set (HEDIS), volume 2, to ensure their suitability for this State.