Medallion Mandatory Managed Care | Midpage

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Virginia Administrative Code

Part VI

Medallion Mandatory Managed Care

360Definitions.370Medallion mandatory managed care members.380Medallion MCO responsibilities.390Payment rate for MCOs.395Preauthorized, emergency, and post-stabilization services and payment rate for care provided by out-of-network providers.400Quality control and utilization review.410Sanctions.420Member grievances and appeals.430Provider grievances, reconsiderations, and appeals.440[Reserved].