79524938.2-5904Virginia Decodedhttps://vacode.org2016InsuranceOffice Of The Managed Care OmbudsmanOffice of the Managed Care Ombudsman established; responsibilities1999, cc. 643, 649; 2000, c. 922.http://law.lis.virginia.gov/vacode/38.2-5904/32.1-137.7Definitions/32.1-137.7//38.2-5904/38.2/59/38.2-5904The Commission shall create within the Bureau of Insurance the Office of the Managed Care Ombudsman. The Office of the Managed Care Ombudsman shall promote and protect the interests of covered persons under managed care health insurance plans in the Commonwealth. All state agencies shall assist and cooperate with the Office of the Managed Care Ombudsman in the performance of its duties under this chapter. The definitions in § 32.1-137.7 shall have the same meanings ascribed to them in § 32.1-137.7 when used in this section.sectionAA1The Office of the Managed Care Ombudsman shall:sectionBB1 Assist covered persons in understanding their rights and the processes available to them according to their managed care health insurance plan.sectionB1B12 Answer inquiries from covered persons and other citizens by telephone, mail, electronic mail and in person.sectionB2B22 Provide to covered persons and other citizens information concerning managed care health insurance plans and other utilization review entities upon request.sectionB3B32 Develop information on the types of managed care health insurance plans available in the Commonwealth, including mandated benefits and utilization review procedures and appeals, and receive and analyze the annual complaint data required to be filed by each health carrier providing a managed care health insurance plan, as provided in subsection C of § 38.2-5804.sectionB4B42 Make available, either separately or through an existing Internet Web site utilized by the Bureau of Insurance, information as set forth in subdivision 4 and such additional information as may be deemed appropriate.sectionB5B52 In conjunction with complaint and inquiry data maintained by the Bureau of Insurance, maintain data on inquiries received, the types of assistance requested, any actions taken and the disposition of each such matter.sectionB6B62 Ensure that covered persons have access to the services provided through the Office of the Managed Care Ombudsman and that the covered persons receive timely responses from the representatives of the Office of the Managed Care Ombudsman to the inquiries.sectionB8B82 Upon request to the Commission by any of the standing committees of the General Assembly having jurisdiction over insurance or health or the Joint Commission on Health Care, provide to the Commission for dissemination to the requesting parties assessments of proposed and existing managed care health insurance laws and other studies of managed care health insurance plan issues.sectionB9B92 Monitor changes in federal and state laws relating to health insurance.sectionB10B102 Carry out activities as the Commission determines to be appropriate.sectionB12B122