Virginia Regulatory Town Hall
Virginia Department of Health
State Board of Health
Managed Care Health Insurance Plan Quality Assurance Regulation [12 VAC 5 ‑ 409]    (Under Development)
Repeal and Replace Regulations Following Periodic Review
Action 6334
General Information
Action Summary The intent of this regulatory action is to repeal the chapter governing certificates of quality assurance for licensed managed care health insurance plan (MCHIP) carriers and replace it with a new chapter due to the current chapter being outdated and in need of significant style and structure updates. The new chapter will conform the regulatory language to the Code of Virginia, the Virginia Register of Regulation’s Form, Style and Procedure Manual for Publication of Virginia Regulations, and changes in the regulated industry. Further, the new chapter will be easier to administer by the department, will be more easily understood by regulated entities, and will address standards for network adequacy. Public comment is sought on any issue relating to this regulation. This action may address comments received during the public comment period for this NOIRA and subsequent stages of this action.
Chapters Affected
  VAC Chapter Name Action Type
Primary 12 VAC 5-409 Managed Care Health Insurance Plan Quality Assurance Regulation Promulgate New Regulation
Other chapters
  12 VAC 5 - 408 Regulation for the Certificate of Quality Assurance of Managed Care Health Insurance Plan (MCHIP) Licensees Repeal Entire Regulation
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project No project yet assigned to this action
Result of Prior Periodic Review Filed 2/13/2017
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
10146 NOIRA Secretary of Health and Human Resources review in progress.
Contact Information
Name / Title: Rebekah E. Allen  / Sr. Policy Analyst
Address: Virginia Department of Health
9960 Mayland Drive, Ste. 401
Richmond, VA 23233
Email Address:
Phone: (804)367-2102    FAX: (804)527-4502    TDD: ()-

This person is the primary contact for this chapter.