Nev. Admin. Code § 439B.Sec. 20

Current through December 12, 2024
Section 439B.Sec. 20 - NEW
1. Except as otherwise provided in sections 21 and 22, the Department will only accept historical data which:
(a) Passes the validation described in subsection 2; and
(b) Is submitted by the deadline prescribed by section 17 for the submission of historical data.
2. When conducting a validation pursuant to paragraph (a) of subsection 1, the administrator shall use a process that meets the requirements of this section to ensure that the format and content of the historical data submitted by data submitters are valid and complete.

The process must include, without limitation:

(a) A field-level audit conducted in accordance with subsection 3 when historical data is submitted;
(b) A quality audit conducted to determine whether the historical data meets the default threshold of reasonableness prescribed pursuant to paragraph (b) of subsection 4; and
(c) The consolidation of the data and a reasonableness, longitudinal and relational audit of the consolidated data to confirm whether the submission contains the appropriate amount of historical data for the number of persons covered by the data submitter.
3. A field-level audit conducted pursuant to paragraph (a) of subsection 2 must:
(a) Determine whether the historical data that is being audited is in the correct form and has been submitted using the hashing algorithm prescribed and provided pursuant to section 19; and
(b) Evaluate whether the field length and type, code values and the percentage of the fields that are filled meet the thresholds for completeness and content prescribed pursuant to paragraph (a) of subsection 4.
4. The administrator shall prescribe:
(a) For use in each field-level audit conducted pursuant to paragraph (a) of subsection 2, acceptable thresholds for the completeness and content of each element of historical data submitted by a data submitter; and
(b) For use in each quality audit conducted pursuant to paragraph (b) of subsection 2, a threshold for the reasonableness of the historical data, which may be expressed as a rate or a range.
5. When prescribing thresholds pursuant to subsection 4, the administrator shall initially assume that the acceptable threshold for each element is 100 percent but may establish a lower threshold upon determining that a threshold of 100 percent would be inappropriate for the element.

Nev. Admin. Code § 439B.Sec. 20

Added to NAC by Dep't of Human Resources by R104-23A, eff. 11/15/2024

NRS 439B.875