38.2-5809 - Suspension or revocation of license. - Virginia Statutes

§ 38.2-5809. Suspension or revocation of license.

The Commission may suspend or revoke any license issued to a health carrierif it finds that any of the following conditions exist:

1. The State Health Commissioner certifies to the Commission pursuant to §32.1-137.5 that the health carrier or its MCHIP is unable to fulfill itsobligations to furnish quality health care services as set forth in Article1.1 (§ 32.1-137.1 et seq.) of Chapter 5 of Title 32.1. The suspension of acertificate of quality assurance shall not be deemed such a certification bythe State Health Commissioner.

2. The State Health Commissioner notifies the Commission that the healthcarrier has failed to implement the complaint system required by Title 32.1and § 38.2-5804 to resolve valid complaints reasonably.

3. The Commission determines that a certificate of quality assurance issuedto the health carrier has been revoked by the State Health Commissioner, or arequest for renewal of such certificate has been denied or disapproved by theState Health Commissioner.

(1998, c. 891.)