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

12VAC5-407-60: Audited data required

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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 II. Quality of Care Data Reporting

HMOs shall submit HEDIS or other quality of care or performance information set approved by the board that has been verified by an independent auditing organization with no financial interest in or managerial association with the HMO. The HMO shall submit an audit report with the data.

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

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