Nev. Admin. Code § 695C.128 - Licensure in another state: Contract with providers of medical care in state contiguous to Nevada; plan for operation
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.
Notes
NRS 679B.130, 695C.275
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