West Virginia West Virginia GR – 11.19.19 I. Scope and Applicability A. Who is subject to the state’s grievance regulations? Health maintenance organizations and health plan issuers W. Va. CSR § 114-96-1 HMOs? Yes. Insurers? Yes. Utilization Review Organizations? No. ACOs? Yes, if the ACO meets the definition of HMO or health plan issuer. PPOs? […]

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