1. A. As it pertains to the covered persons, the MCHIP licensee shall integrate monitoring of the delegated service entity with respect to the following activities within its quality assurance program:

   1. 1. Quality assurance program activities;
   2. 2. Quality assurance plan measures; and
   3. 3. Complaint and appeals processes.

2. B. When the MCHIP's licensee's expectations have not been met, the MCHIP licensee shall require the delegated service entity to provide:

   1. 1. A corrective action plan that addresses areas where performance expectations have not been met; and
   2. 2. Evidence that corrective action was taken in keeping with corrective action plans.

Statutory Authority

§ 32.1-137.1 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 16, Issue 7, eff. January 20, 2000; amended, Virginia Register Volume 18, Issue 8, eff. January 30, 2002.