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Virginia regulations · Through 2026 Regular Session (effective July 1, 2026)

12VAC5-407-110: Biennial evaluation

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Where this section sits in the code
  1. Title 12. Health
  2. Agency 5. Department of Health
  3. Chapter 407. Procedures for the Submission of Health Maintenance Organization Quality of Care Performance Information
  4. Part III. Duties of the Board and the Nonprofit Organization

A. The board shall evaluate biennially the impact and effectiveness of collecting and making available HEDIS or any other quality of care or performance information set and the appropriateness of the fee structure. This evaluation shall be completed by January 15.

B. As part of the biennial evaluation, the board may consult with the HMOs and the nonprofit organization to determine whether changes should be made to the HEDIS or any other quality of care or performance information set requirements.

Collected 2026-09-14T04:50:10Z. Source file · JSON

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