All-Payer Claims Database (APCD)

 APCD2

Nevada APCD is now live!
Data is not anticipated to be available until Fall 2025
Please visit

APCD.NV.GOV 


Questions regarding APCD submission, training & more: NV-Support@onpointhealthdata.org
Questions regarding regulations: APCD@dhcfp.nv.gov

Historical Information on the Development of APCD

 

The All-Payer Claims Database (APCD) will collect and analyze healthcare claims data from all payers, including Medicaid, Medicare, and other public and private payers. This database will help the state to monitor healthcare utilization, cost, quality and evaluate the impact of programs, demonstrations, and initiatives. It will also support health policy decisions related to healthcare and payment initiatives, to foster a more efficient healthcare system.

PURPOSE: To enhance transparency, improve healthcare quality, and reduce costs by providing comprehensive data on healthcare utilization, costs, and outcomes.

WHO IS IMPACTED: According to NRS Chapter 439B, an APCD is a database that includes medical claims, pharmacy claims, dental claims, eligibility information, and provider files collected from Nevada's healthcare payers. They will be reporting data directly to the APCD.

TRAINING: Training and other notifications will be sent over the APCD email list. Sign up for notifications here.

HISTORY: Existing law and regulatory authorities Senate Bill 40 passed during the 81st (2021) Session of the Nevada Legislature and was signed into law on June 7, 2021. It included the establishment and the implementation of an APCD to collect, manage, and analyze healthcare claims data from all payers in Nevada.

 

Timeline

Vendor contract start        Jan. 4, 2024 
Onboard vendor and project kick-off        Jan.-Feb. 2024   
Revise proposed regulations resubmission (LCB)        Aug. 2024
Public Hearing: APCD Notice of Intent to Adopt        Oct. 1, 2024     
Final adoption/approval from Legislative Commission Board         Nov. 15, 2024
Launch of APCD Data Submission Portal        Dec. 9, 2024
Webinar: Intro to Submitter Registration        Dec. 17, 2024
Registration deadline         Feb. 1, 2025 
Trainings and one-on-one onboarding        Jan.-Mar. 2025
Test file submission due to Onpoint        Mar. 2025
Three (3) yrs of historical data & quarterly submissions due        July 2025

This page is no longer updated


Please visit APCD.nv.gov

Sign up for APCD notifications here.