On Jul. 29, NV LEG proposed rule on adequacy for 2025 network plan.
NV INS proposed rule on the adequacy requirements for network plans for 2025.
Proposed Amendments
Removed requirements relating to stand-alone dental plans and plans that offer oral pediatric services for the purpose of satisfying certain federal requirements.
Replaced maximum time or distance standards with max time and distance standards.
Revised definition to mean maximum time and distance, rather than maximum time or distance, that individual should have to travel to see a provider of health care.
Require network plan to provide evidence that network plan contracts with at least 35% of federally-qualified health centers (FQHC) and family planning providers.
In service area of network plan available to participate in provider network of plan.
Revised types of essential community providers within category of other ECP providers.
Oct. 2024 NV INS Workshop, Hearing
On Oct. 23, 2024, NV INS issued notice of workshop to solicit comments on proposed regulation R118-24; workshop shall be held Nov. 12, 2024; comments by Nov. 5.
Also issued notice of intent to act upon regulations and a hearing agenda; hearing shall be held on Nov. 26, 2024; written comments must be submitted by Nov. 19.
