Nevada Administrative Code|Section 687B.784 - Change to network plan resulting in failure to meet standards or requirements: Authority of Commissioner to determine inadequacy of plan; submission of statement of network capacity for certain plans

                                                
 687B.784. Change to network plan resulting in failure to meet standards or requirements: Authority of Commissioner to determine inadequacy of plan; submission of statement of network capacity for certain plans 
 
If a network plan does not meet the standards adopted by reference in section 9 of this regulation or any other requirement of sections 2 to 18, inclusive, of this regulation and the Commissioner does not approve the corrective action plan submitted pursuant to section 15 of this regulation, the Commissioner may:
 
1. For a qualified health plan, determine that the network plan is inadequate pursuant to subsection 5 of NRS 687B.490; or
 
2. For any network plan other than a qualified health plan, determine that the network plan is inadequate pursuant to subsection 5 of NRS 687B.490 and require the carrier to submit a statement of network capacity to the Commissioner demonstrating that the carrier meets the conditions described in 42 U.S.C. § 300gg - 1(c)(1)(B).
 
Added to NAC by Comm'r of Insurance, by R049-14, eff. 4-4-2016
 
NRS 679B.130, 687B.490, as amended by section 28 of Assembly Bill No. 292, chapter 153, Statutes of Nevada 2015, at page 636