{"id":11291,"date":"2020-07-22T14:21:29","date_gmt":"2020-07-22T14:21:29","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/?page_id=11291"},"modified":"2020-09-18T17:59:13","modified_gmt":"2020-09-18T17:59:13","slug":"cqa-application-status-report","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/managed-care-health-insurance-plan-mchip-and-private-review-agents-pra\/cqa-application-status-report\/","title":{"rendered":"CQA Application Status Report"},"content":{"rendered":"
\n

Quick Links<\/h3>\n

MCHIP Annual Notice 2020<\/a><\/p>\n

Application for a Certificate of Quality Assurance (11-2019)<\/a><\/p>\n

Questions to Exclude Based on NCQA Certification<\/a><\/p>\n

PRA Application<\/a><\/p>\n

MCHIP Geographic Service Area Change Worksheet<\/a><\/p>\n

MCHIP Enrollee Complaint Form<\/a><\/p>\n

MCHIP Annual Complaint Form<\/a><\/p>\n<\/div>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

The following contains up to date information regarding CQA Application Status.
\nIf you have any questions, please contact Leslie Moore at leslie.moore@vdh.virginia.gov<\/a><\/em><\/strong><\/p>\n

 <\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Insurance Plan <\/strong>
\nName<\/strong><\/td>\n		MCHIP\/PRA Current<\/strong>
\nCQA Number<\/strong><\/td>\n		Application Rec’d<\/strong>
\n(Y\/N)<\/strong><\/td>\n		 <\/p>\n

Review Completed<\/strong><\/p>\n

(Y\/N)<\/strong><\/td>\n

Approved<\/strong>
\n(Y\/N)<\/strong><\/td>\n		New CQA<\/strong>
\nNumber<\/strong><\/td>\n		Mail & Scan <\/strong>Date<\/strong><\/td>\nAdditional Info. Required<\/strong><\/td>\n<\/tr>\n
Aflac (Vision)<\/td>\nM-215 (I-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nM-215 (R-20)<\/td>\n09\/11\/2020<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Magellan Rx Management. LLC<\/td>\nP-18-06 (I)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nP-18-06<\/td>\n08\/21\/2020<\/td>\n<\/td>\n<\/tr>\n
Optum Rx, Inc<\/td>\nP-12-05 (R-20)<\/td>\nY<\/td>\nN<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Aflac (Dental)<\/td>\nM-216 (I-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nM-216 (R-22)<\/td>\n09\/11\/2020<\/td>\n<\/td>\n<\/tr>\n
DentaQuest<\/td>\nP-09-15 (R-20)<\/td>\nY<\/td>\nN<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
UPMC Health Plan<\/td>\nP-18-05 (R-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nP-18-05 (R-22)<\/td>\n09\/18\/2020<\/td>\n<\/td>\n<\/tr>\n
Hines & Associates<\/td>\nP-14-05 (R-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nP-14-05 (R-22)<\/td>\n09\/04\/2020<\/td>\n<\/td>\n<\/tr>\n
Starmount Life Insurance (Vision)<\/td>\nM-164 (R-20)<\/td>\nY<\/td>\nN<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Optum Rx, Inc<\/td>\nP-12-05 (R-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nP-12-05 (R-22)<\/td>\n08\/21\/2020<\/td>\n<\/td>\n<\/tr>\n
Magellan Complete Care of Virginia<\/td>\nM-192 (R-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nM-192 (R-20)<\/td>\n09\/18\/2020<\/td>\n<\/td>\n<\/tr>\n
Ingenio Rx, Inc<\/td>\nP-18-07 (R-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nP-18-07 (R-22)<\/td>\n08\/21\/2020<\/td>\n<\/td>\n<\/tr>\n
Freedom Life Insurance<\/td>\nM-137 (R-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nM-137 (R-22)<\/td>\n08\/28\/2020<\/td>\n<\/td>\n<\/tr>\n
Guardian Life Insurance<\/td>\nM-071 (R-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nM-071 (R-20)<\/td>\n08\/28\/2020<\/td>\n<\/td>\n<\/tr>\n
Permanente Advantage, LLC<\/td>\nM-191 (R-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nP-10-10 (R-20)<\/td>\n08\/28\/2020<\/td>\n<\/td>\n<\/tr>\n
WINFertility, Inc<\/td>\nP-14-03 (R-20)<\/td>\nY<\/td>\nY<\/td>\nY<\/td>\nP-14-03 (R-22)<\/td>\n09\/04\/2020<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

Quick Links MCHIP Annual Notice 2020 Application for a Certificate of Quality Assurance (11-2019) Questions to Exclude Based on NCQA Certification PRA Application MCHIP Geographic Service Area Change Worksheet MCHIP Enrollee Complaint Form MCHIP Annual Complaint Form                   The following contains up to date information regarding CQA […]<\/p>\n","protected":false},"author":15,"featured_media":0,"parent":40,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-11291","page","type-page","status-publish","hentry"],"yoast_head":"\nCQA Application Status Report - Licensure And Certification<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/managed-care-health-insurance-plan-mchip-and-private-review-agents-pra\/cqa-application-status-report\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CQA Application Status Report - 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