§ 38.2-4320.1. Explanation of benefits for health maintenance organization enrollees who are recipients of medica...
In the case of any health maintenance organization that has contracted with the Virginia Department of Medical Assistance Services to provide health care services to recipients of medical assistance services pursuant to Title XIX of the Social Security Act, as amended, or to individuals who are covered by the Family Access to Medical Insurance Security (FAMIS) Plan developed pursuant to Title XXI of the Social Security Act, as amended, the requirements for furnishing an explanation of benefits to current or former members and their respective health care providers shall be as authorized and directed in the standards prescribed in the state plan for medical assistance services pursuant to Chapter 10 (§ 32.1-323 et seq.) of Title 32.1 and the FAMIS Plan pursuant to Chapter 13 (§ 32.1-351 et seq.) of Title 32.1. The requirements for an explanation of benefits otherwise addressed in this title shall not apply to such health maintenance organization when contracting to deliver such services to the extent that the statutory requirements differ from the standards of the Department of Medical Assistance Services.
(2004, c. 185.)
Sections: Previous 38.2-4312.2 38.2-4312.3 38.2-4313 38.2-4314 38.2-4315 38.2-4316 38.2-4317 38.2-4317.1 38.2-4318 38.2-4319 38.2-4320 38.2-4320.1 38.2-4321 38.2-4322 38.2-4323 NextLast modified: April 16, 2009