NAC695C.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.

     (Added to NAC by Comm’r of Insurance, eff. 6-11-86; A 5-27-92; R148-99, 1-27-2000)