Nev. Admin. Code § 695C.310 - Health maintenance organization: Review of examination of organization required; approved examiners; organization to cooperate during examination
1. As part of the
examination of the quality of health care services for a health maintenance
organization required pursuant to
NRS 695C.310, the
State Board of Health will review or cause the Division of Public and
Behavioral Health to review and report the results of an examination of the
organization conducted by:
(a) The Federal
Government for federal qualification as a health maintenance
organization;
(b) A group which is
nationally recognized to provide accreditation of health maintenance
organizations; or
(c) A person
approved by the Board pursuant to subsection 2.
2. The State Board of Health shall maintain a
list of not less than two persons whom the Board has approved to assist the
Board in conducting the examination of a health maintenance
organization.
3. During an
examination, the health maintenance organization shall provide such information
as the Board or Division of Public and Behavioral Health deems necessary and
shall allow the Board or the Division of Public and Behavioral Health to review
any relevant books, records and operations necessary at the place of business
of the health maintenance organization.
Notes
NRS 439.200, 679B.130, 695C.310
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