{"data":{"id":"us-va/12vac5-408-350","jurisdiction":"us-va","citation":"12VAC5-408-350","heading":"Quality assurance program","body":"A. As it pertains to the covered persons, the MCHIP licensee shall integrate monitoring of the delegated service entity with respect to the following activities within its quality assurance program:\n\n1. Quality assurance program activities;\n\n2. Quality assurance plan measures; and\n\n3. Complaint and appeals processes.\n\nB. When the MCHIP's licensee's expectations have not been met, the MCHIP licensee shall require the delegated service entity to provide:\n\n1. A corrective action plan that addresses areas where performance expectations have not been met; and\n\n2. Evidence that corrective action was taken in keeping with corrective action plans.","path":["Title 12. Health","Agency 5. Department of Health","Chapter 408. Certificate of Quality Assurance of Managed Care Health Insurance Plan Licensees","Part VI. Delegated Services"],"source_url":"https://law.lis.virginia.gov/admincode/title12/agency5/chapter408/section350/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:50:11Z","sha256":"20c547b8773d72dfc68a1445be68eabd0f1d13f865a5609208cdd34395f4b850","source_id":"us-va-vac","stale":false,"prev":"us-va/12vac5-408-340","next":"us-va/12vac5-408-360"},"notice":"GroundRules: Original legal text. Not legal advice."}
