§ 32.1-138.15. Regulations
The Department shall promulgate regulations, pursuant to the Administrative Process Act (§ 2.2-4000 et seq.), to implement the provisions of this article, which shall include, but not be limited to, the following items:
1. Minimum qualifications to perform review;
2. Procedures which require the private review agent to provide the attending physician an opportunity to consult with a physician advisor prior to issuance of a final denial in any case in which there is an initial recommendation to deny coverage;
3. Guidelines regarding access to and confidentiality of patient-specific medical records and information; and
4. Setting the amount of any fees required by this article, which shall be sufficient to pay for the administrative costs of regulation under this article.
(1990, c. 826, § 38.2-5309; 1998, c. 129.)
Sections: Previous 32.1-138.8 32.1-138.9 32.1-138.10 32.1-138.11 32.1-138.12 32.1-138.13 32.1-138.14 32.1-138.15 32.1-139 32.1-145 32.1-148 32.1-157 32.1-162.1 32.1-162.2 32.1-162.3 NextLast modified: April 16, 2009