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Table of Contents » Title 12. Health » Agency 5. Department of Health » Chapter 407. Procedures for the Submission of Health Maintenance Organization Quality of Care Performance Information » Part II. Quality of Care Data Reporting » 12VAC5-407-60. Audited data required.

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Virginia Administrative Code
Title 12. Health
Agency 5. Department of Health
Chapter 407. Procedures for the Submission of Health Maintenance Organization Quality of Care Performance Information

11/21/2024

12VAC5-407-60. Audited data required.

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.

Statutory Authority

§§ 32.1-12 and 32.1-276.5 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 19, Issue 26, eff. October 8, 2003; amended, Virginia Register Volume 32, Issue 8, eff. February 1, 2016.

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