{"data":{"id":"us-va/va.-code-32.1-138.9","jurisdiction":"us-va","citation":"Va. Code § 32.1-138.9","heading":"Standards for approval","body":"Each private review agent shall file an application with the Department which shall meet the following minimum standards and any additional standards established by regulation pursuant to § 32.1-138.15, and pay a filing fee established by the Department, in order to be approved by the Department:1. A description of the procedures to be used in evaluating proposed or delivered hospital, medical, or other health care services;2. The procedures by which patients or providers may seek reconsideration of determinations by private review agents;3. The type and qualifications of the personnel either employed or under contract to perform the utilization review;4. Procedures and policies which ensure that patient-specific medical records and information shall be kept strictly confidential except as authorized by the patient or by regulations adopted pursuant to this article; and5. Assurances that reviewers be readily accessible by telephone to patients and providers at least forty hours per week during normal business hours.1990, c. 826, § 38.2-5302; 1998, c. 129.","path":["Title 32.1. HEALTH","Chapter 5. REGULATION OF MEDICAL CARE FACILITIES AND SERVICES","Article 2.1. PRIVATE REVIEW AGENTS"],"source_url":"https://law.lis.virginia.gov/vacode/32.1-138.9/","current_through":"9/4/2026","vintage":"","retrieved_at":"2026-09-04T15:15:34Z","sha256":"aa211cc0e40b73d1fc134dd0214c7e8a1686145c04b7701d14f3c83b1cde54c5","source_id":"us-va","stale":true,"prev":"us-va/va.-code-32.1-138.8","next":"us-va/va.-code-32.1-138.10"},"notice":"GroundRules: Original legal text. Not legal advice."}