Chapter 405 - RULES GOVERNING PRIVATE REVIEW AGENTS
- § 12VAC5-405-10 - Purpose
- § 12VAC5-405-20 - Reserved
- § 12VAC5-405-30 - Scope
- § 12VAC5-405-40 - Definitions
- § 12VAC5-405-50 - Certificates to perform utilization review
- § 12VAC5-405-60 - Fee for certificate
- § 12VAC5-405-70 - Minimum qualifications of staff
- § 12VAC5-405-80 - Adverse decisions
- § 12VAC5-405-90 - Appeals of adverse decisions
- § 12VAC5-405-100 - Access to and confidentiality of medical records and information
- § 12VAC5-405-110 - Accessibility
- § 12VAC5-405-120 - Examination of private review agents
- Form - FORMS (12VAC5-405)
The following state regulations pages link to this page.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
- 12VAC5-405-10 - Purpose.
- 12VAC5-405-20 - [Reserved].
- 12VAC5-405-30 - Scope.
- 12VAC5-405-40 - Definitions.
- 12VAC5-405-50 - Certificates to perform utilization review.
- 12VAC5-405-60 - Fee for certificate.
- 12VAC5-405-70 - Minimum qualifications of staff.
- 12VAC5-405-80 - Adverse decisions.
- 12VAC5-405-90 - Appeals of adverse decisions.
- 12VAC5-405-100 - Access to and confidentiality of medical records and information.
- 12VAC5-405-110 - Accessibility.
- 12VAC5-405-120 - Examination of private review agents.
- FORMS - FORMS (12VAC5-405)