Virginia Virginia 2018 I.   Scope and Applicability A.  Who is subject to the state’s external review laws? All health carriers seeking to perform external review. 14 VAC 5-216-10(A); Va. Code Ann. §38.2-3557(A) HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs?  Yes. PPOs? Yes. Third party administrators? Yes. B.  What exemptions are provided, if any? […]

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