NAC695C.125. Application of health maintenance organization: Evaluation by Division of Public and Behavioral Health.

     1. The Division of Public and Behavioral Health shall study each application for a certificate of authority to establish and operate a health maintenance organization and give the State Board of Health the opinion whether or not the applicant has:

     (a) Adequate arrangements in his or her health maintenance organization to provide health care; and

     (b) Adequate procedures established to develop, compile, evaluate and report statistical data concerning:

          (1) The cost of its operations;

          (2) The pattern of utilization, availability and accessibility of its services; and

          (3) Such other matters as the Board may reasonably require.

     2. The Division of Public and Behavioral Health shall present the results of the study, along with the application and other relevant documents, to the State Board of Health as soon as practicable.

     3. The applicant may be represented at the meeting of the State Board of Health.

     [Bd. of Health, Health Maintenance Plans Art. 2, eff. 4-11-80]—(NAC A 11-1-95; A by Comm’r of Insurance by R148-99, 1-27-2000)