Network Adequacy
Plan Year 2025 Network Plan Submission Instructions
Carriers must include a validated CMS ECP/Network Adequacy template in each SERFF Binder for every individual and small group market segment. The template will be uploaded to the "Templates" tab of the SERFF Binder for validation within the Plan Management module.
Carriers must also submit a 2025 Network Adequacy Declaration Document, the Network Adequacy Year Over Year Summary Table Results Template, and the PY25 Binder Completion Checklist, including all associated and applicable items in the checklist, through the "Supporting Documentation" tab of each applicable Binder.
Important Network Adequacy Dates for Plan Year 2025
INDIVIDUAL HEALTH AND DENTAL PLANS
June 3rd- Network Plan applications due
August 12th- Division makes final determinations
SMALL EMPLOYER GROUP HEALTH AND DENTAL PLANS
July 15th- Network Plan applications due
September 26th- Division makes final determinations
Objections/Responses
The Division anticipates no more than a two-week turn around for review after a submission and, under normal circumstances, the carriers will have two weeks to respond to objections.
Helpful Links and Templates
2025 NV Network Adequacy Filing Guidance - Medical
2025 NV Network Adequacy Filing Guidance - Dental
SSHIX Final PY2025 Annual Letter to Issuers
CMS Published Guidance and Regulations
CMS Application Materials (includes Final Non-exhaustive HHS List of ECPs)
Network Adequacy Regulation LCB File No. R024-23