Virginia Administrative Code (Last Updated: January 10, 2017) |
Title 12. Health |
Agency 5. Department of Health |
Chapter 408. Certificate of Quality Assurance of Managed Care Health Insurance Planlicensees |
Section 10. Definitions |
Section 20. Responsibility of the department |
Section 30. Certificate of quality assurance |
Section 40. Fees |
Section 50. Compliance provisions appropriate for type of plan |
Section 60. General examination process |
Section 70. Administrative review |
Section 80. Renewal application |
Section 90. Comprehensive onsite examination |
Section 100. Examination by a nationally recognized accreditation organization |
Section 110. Corrective action procedures |
Section 120. Changes to geographic service areas |
Section 130. Complaint system, complaint examination and investigation |
Section 140. Administrative sanctions |
Section 150. Surrender of certificate |
Section 160. Management and administration |
Section 170. Provider credentialing and recredentialing |
Section 180. Complaint system |
Section 190. Covered person education and communication |
Section 200. Data management |
Section 210. Medical records |
Section 220. Purpose |
Section 230. Program requirements |
Section 240. Quality assurance plan |
Section 250. Continuity of care |
Section 260. Network adequacy |
Section 270. Travel and appointment waiting times |
Section 280. Urgent care and emergency services |
Section 290. Health promotion |
Section 300. Clinical performance evaluation systems |
Section 310. Data collection and submission |
Section 320. Delegated services |
Section 330. Written agreement |
Section 340. Exchange of information |
Section 350. Quality assurance program |
Section 360. Utilization review and management |
Appendix 9998. FORMS (12VAC5-408) |
Appendix 9999. DOCUMENTS INCORPORATED BY REFERENCE (12VAC5-408) |