Nevada Administrative Code
Chapter 695C - Health Maintenance Organizations; Provider-Sponsored Organizations
CERTIFICATES OF AUTHORITY
Section 695C.123 - Federal qualification: Information required

Universal Citation: NV Admin Code 695C.123

Current through December 12, 2024

1. Any organization which holds a certificate of authority issued by the Commissioner and is seeking qualification as a health maintenance organization pursuant to 42 U.S.C. § 300e - 9(c) or qualifies as a provider-sponsored organization by satisfying all the requirements set forth in 42 U.S.C. § 1395w - 25(d) and the federal regulations adopted pursuant thereto shall submit to the Division information concerning that qualification, including:

(a) The date and time of the inspection to be conducted by the Federal Government;

(b) The name and address of the federal officer responsible for investigating the organization; and

(c) A copy of any report by the Federal Government qualifying or denying the qualification of the organization.

2. Any organization which has been so qualified shall submit to the Division a copy of any:

(a) Notice of deficiency received from the Federal Government concerning its qualification; and

(b) Report presented to the Federal Government to maintain its qualification.

3. Each organization shall file with the Division, for informational purposes, any documents received from or sent to the Federal Government if those documents materially affect the operation and marketing of the organization in Nevada.

Added to NAC by Comm'r of Insurance, eff. 6-11-86; A 5-27-92; R148-99, 1-27-2000

NRS 679B.130, 695C.275

Disclaimer: These regulations may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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