Nev. Admin. Code § 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.
Notes
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