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Network Adequacy

2018 Network Plan Submission Instructions

Carriers must include a validated CMS ECP/Network Adequacy template within the risk pool Binder, for each individual and small group market segment.  This validated template will be located within the "Templates" tab of the Binder within the SERFF Plan Management module.  Carriers must also submit a 2018 Network Adequacy Declaration Document with in the "Supporting Documentation" tab of each applicable Binder.  

Important Network Adequacy Dates for Plan Year 2018

The Division will be conducting individual guidance calls with carriers towards the end of April 2017 into the beginning of May 2017.   

 

June 12, 2017 - Binders due for all carriers
June 26, 2017 - DOI sends first network adequacy objection letter to carriers via SERFF
July 10, 2017 - Revised network adequacy data and documentation due in SERFF
July 24, 2017 -  DOI sends second network adequacy objection letter to carriers via SERFF
August 07, 2017 - Revised  network adequacy data and documentation due in SERFF
August 21, 2017 - DOI sends third network adequacy objection letter to carriers via SERFF
September 04, 2017 - Revised network adequacy data and documentation due in SERFF
September 10, 2017 - DOI makes final network adequacy determinations 

For a complete 2018 Health Benefit Plan and SADP Timeline to to:

http://doi.nv.gov/Insurers/Life-Health/Health-Care-Reform-For-Insurers/

Helpful Links and Templates

Autism Provider Template
Final 2018 Annual Letter to Issuers
2018 Essential Community Providers/Network Adequacy Template
NV Essential Care Provider (ECP) List for 2017
Approved Network Adequacy Regulation R049-14
Network Adequacy Temporary Regulation T007-16
DOI Network Adequacy Presentation