Action:
Amends section 1VAC55-20 et seq. to assure that it is in compliance with legislation that has been passed on the state and federal level.
Action 990
General Information
Action Summary |
These amendments bring 1 VAC55-20 et seq. into compliance with
legislation that has been passed on the state and federal level. The
program is required by the Code of Virginia to incorporate an
independent medical review program. The Code has changed the
name of the Department of Personnel and Training to the
Department of Human Resource Management; and the Code has
extended active coverage for surviving spouses of employees.
Legislation has been passed which removes authority for a Health
Benefits Advisory Council and a Local Advisory Council
On the federal level, the Health Insurance Portability and
Accountability Act (HIPAA) has required the plan to change the
way it sets coverage effective dates. HIPAA has caused the plan to
eliminate any pre-existing condition or evidence of insurability
provisions. IRS section 125 regulations now require plan
participants to make plan election changes on a prospective basis.
The administration of the program is moving into the electronic age.
The plan now uses electronic enrollment over the web and the
regulations needed to reflect this paperless method of
administration.
During the 2000 session of the General Assembly, SB 1235 and
HB 871 became law. These bills required the health benefits
program for state employees to contract with one or more impartial
health entities to review adverse medical claim decisions. These
regulations set standards to assure that the impartial health entity conducting the reviews have adequate credentials and experience. |
Chapters Affected |
Only affects this chapter.
|
Executive Branch Review |
This action will go through the normal Executive Branch Review process.
|
RIS Project |
No project yet assigned to this action |
New Periodic Review |
This action will not be used to conduct a new periodic review.
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Stages
Stages associated with this regulatory action.
Stage ID |
Stage Type |
Status |
1419
|
NOIRA
|
Stage complete. Comment period ended 08/14/2002. |
1556
|
NOIRA
|
Stage complete. Comment period ended 08/14/2002. |
1957
|
Proposed
|
Stage withdrawn on 11/14/2002 before DPB completed its review. |
2053
|
Proposed
|
Stage withdrawn on 12/04/2002 before DPB completed its review. |
2060
|
Proposed
|
Stage complete. Comment period ended 10/31/2003. |
2065
|
Emergency
|
Stage complete. Emergency regulation superseded by final permanent regulation. |
2621
|
Final
|
Stage complete. This regulation became effective on 07/16/2004. |
Contact Information
Name / Title:
|
Charles Reed
/
Associate Director
|
Address:
|
101 N. Fourteenth St.
Richmond , VA 23219
|
Email Address:
|
creed@dhrm.state.va.us
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Phone:
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(804)786-3124
FAX: (804)371-0231
|