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Network Adequacy

2017 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 2017 Network Adequacy Declaration Document with in the "Supporting Documentation" tab of each applicable Binder.  

Important Network Adequacy Dates for Plan Year 2017

March

March 24, 2016 - Network adequacy webinar for health benefit plans: Cancelled

April

April 7, 2016 - 9:30AM - 12:00PM 2017 Nevada Filing Guidance Part II with general Q & A including Network Adequacy issues

May

May 2, 2016 –Form/Rate filings and binders due for all individual and small group health plans
May 2, 2016 - Form / Rate filings and binders due for all SADP with EOC included
May 13, 2016 - DOI sends first objection letter to carriers via SERFF
May 20, 2016 - DOI posts all proposed individual and small group health rates with approved EOC
May 27, 2016 - Revised Form/Rate and network adequacy data and documentation due in SERFF

June

June 10, 2016 - DOI sends second objection letter to carriers in SERFF
June 24, 2016 - Revised Form/Rate and network adequacy data and documentation due in SERFF

July 

July 8, 2016 - DOI sends third objection letter to carriers
July 22, 2016 - Revised Form/Rate and network adequacy data and documentation due in SERFF
July 29, 2016 - DOI makes final network adequacy determinations

 For the complete 2017 Health Benefit Plan and SADP Timeline  go to:

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

Helpful Links

Final 2017 Annual Letter to Issuers 

2016 CMS Network Adequacy Template  

NV Essential Care Provider (ECP) List for 2017  

Approved Network Adequacy Regulation R049-14 

DOI Network Adequacy Presentation