Nevada Administrative Code
Chapter 695C - Health Maintenance Organizations; Provider-Sponsored Organizations
CERTIFICATES OF AUTHORITY
Section 695C.128 - Licensure in another state: Contract with providers of medical care in state contiguous to Nevada; plan for operation

Universal Citation: NV Admin Code 695C.128

Current through December 12, 2024

1. If an organization holding a certificate of authority in this State is licensed in a state contiguous to this State and wishes to contract with providers in that state for services for enrollees in this State, the organization shall submit to the Division, for its review and approval, two copies of:

(a) The plan of the organization for operation in that other state;

(b) A copy of the evidence of coverage to be issued, if it has not been previously filed with the Division;

(c) Its list of providers and agreements with the providers; and

(d) Any other materials concerning the administration of the plan necessary for the decision of the Division concerning the organization.

2. The Division will consider such a plan to be a material modification of the operations of the organization in this State and, for a health maintenance organization, will submit copies of all documents to the State Board of Health for its review.

3. The Division, before it approves such a plan, will consider whether the other state will approve the plan.

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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