Nev. Admin. Code § 679B.Sec. 13

Current through November 8, 2024
Section 679B.Sec. 13 - NEW
1. Each carrier shall update its directory of providers of health care at least once each month. Except as otherwise provided in this subsection, each update to the directory must include each provider of health care who, as of the previous month, is no longer in the network plan or has stopped accepting new patients. A carrier shall not be deemed to have violated the provisions of this subsection if a provider of health care fails to provide information to the carrier which the provider of health care is contractually obligated to provide to the carrier.
2. If a change occurs to the network plan of a carrier that results in the network plan failing to meet the standards required pursuant to section 9 or any other requirement of sections 2 to 18, inclusive, the carrier must update its directory of providers of health care not later than 5 business days after the effective date of the change and include in the directory a clear description of the change.
3. The directory of providers of health care and each update to the directory must be:
(a) Posted to a publicly available Internet website maintained by the carrier not later than 5 business days after the update is completed;
(b) Posted in a manner that allows a person who is not enrolled in any plan offered by the carrier to view the directory; and
(c) Made available in a printed format to any person upon request.
4. As used in this section:
(a) "Directory of providers of health care" means a list of physicians, hospitals and other professionals and organizations that provide health care services, including, without limitation, through telehealth, as part of a network plan.
(b) "Telehealth" has the meaning ascribed to it in section 3 of Assembly Bill No. 292, chapter 153, Statutes of Nevada 2015, at page 621.

Nev. Admin. Code § 679B.Sec. 13

Added to NAC by Comm'r of Insurance by R025-17A, eff. 12/19/2017
NRS 679B.130, 687B.490, as amended by section 88 of Assembly Bill No. 83, chapter 376, Statutes of Nevada 2017, at page 2355.