REGULATIONS
Vol. 36 Iss. 6 - November 11, 2019

TITLE 12. HEALTH
STATE BOARD OF HEALTH
Chapter 408
Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.

Title of Regulation: 12VAC5-408. Certificate of Quality Assurance of Managed Care Health Insurance Plan Licensees.

Contact Information: Rebekah Allen, Senior Policy Analyst, Office of Licensure and Certification, Virginia Department of Health, 9960 Mayland Drive, Suite 401, Richmond, VA 23233, telephone (804) 367-2157, or email rebekah.allen@vdh.virginia.gov.

FORMS (12VAC5-408)

Application for Certificate of Quality Assurance – Managed Care Health Insurance Plan Licensee (eff. 12/99).

Application for Certificate of Quality Assurance, OLC-4210-F (eff. 11/2019)

VA.R. Doc. No. R20-6162; Filed October 9, 2019, 4:30 p.m.