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Network Adequacy

Plan Year 2023 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 2023 Network Adequacy Declaration Document, the Autism Provider Template, the Network Adequacy Year Over Year Template, and the Network Adequacy Filing Checklist within the "Supporting Documentation" tab of each applicable Binder.  

Important Network Adequacy Dates for Plan Year 2023

June 1st- Network Plan applications due
June 3rd - Division finishes completeness check
June 7th - Carrier responses due in SERFF
June 21st - Division sends first objection letter
July 5th - Carrier responses due in SERFF
July 19th - Division sends first objection letter
August 2nd - Carrier responses due in SERFF
August 16th- Division sends second objection letter

August 29th - Carrier responses due in SERFF

August 30th - Division makes final determinations

Small Employer Group Health Plans

July 13th - Network Plan applications due

July 15th - Division finishes completeness check
July 19th - Carrier responses due in SERFF
August 1st - Division sends first objection letter
August 15th - Carrier responses due in SERFF
August 29th - Division sends second objection letter
September 12th - Carrier responses due in SERFF
September 19th- Division sends second objection letter

September 26th - Carrier responses due in SERFF

September 30th - Division makes final determinations

Helpful Links and Templates

2023 NV Network Adequacy Filing Guidance
SSHIX Final PY2023 Annual Letter to Issuers
CMS Published Guidance and Regulations
Final Non-exhaustive HHS List of ECP's PY 2023
Network Adequacy Regulation LCB File No. R067-19
NAC Adequacy of Network Plans Section  

For questions concerning Network Adequacy, please contact Jeremey Gladstone in the Division's Product Compliance Section:  jgladstone@doi.nv.gov or (775) 687-0729.