NAC695C.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.

     (Added to NAC by Bd. of Health, eff. 11-1-95; A by Comm’r of Insurance by R148-99, 1-27-2000)