2019 Nevada Revised Statutes
Chapter 687B - Contracts of Insurance
NRS 687B.675 - Provision of information to the Office for Consumer Health Assistance. [Effective January 1, 2020.]
1. A health carrier which offers or issues a network plan shall:
(a) Provide to the Office for Consumer Health Assistance at least annually the telephone number and electronic mail address of a navigator, case manager or facilitator employed by the health carrier and update that information when the information changes.
(b) On or before December 31 of each year, submit to the Office for Consumer Health Assistance, for the immediately preceding 12 months, for each type of provider of health care in the applicable network:
(1) The number of times covered persons reported difficulty accessing health care services;
(2) The number of times covered persons used a navigator, case manager or facilitator to assist in accessing health care services;
(3) The number of cases described in subparagraph (2) that were resolved by navigators, case managers or facilitators; and
(4) The average period between when a covered person reports difficulty accessing health care services to the resolution of the case by a navigator, case manager or facilitator.
2. As used in this section:
(a) “Navigator, case manager or facilitator” means an employee of a health carrier whose duties include assisting covered persons in accessing health care services.
(b) “Office for Consumer Health Assistance” means the Office for Consumer Health Assistance established by NRS 232.458.
(Added to NRS by 2019, 297, effective January 1, 2020)
