Virginia MedicaidAETNA Better Health of Virginia (Aetna)
| Case ID | Date | Points | Issue Type | Description |
| 20467 | 8/4/2022 | 0 | Care Coordination | No Valid Screening Prior to NF admission. (APPEALED - CAP Rescinded) |
| 20348 | 5/20/2022 | 1 | Other | Use of inaccurate Level of Care (LOC) benefit information resulting in capitation overpayments. |
| 20078 | 9/21/2021 | 10 | Financial | Error in FICA tax processes by MCO's Fiscal/Employer Agent (F/EA) vendor. |
| 20077 | 9/21/2021 | 10 | Other | Migration of online web portal and website platform without approval by Department of Medical Assistance Services (DMAS). |
| 20076 | 9/21/2021 | 5 | Other | MCO granted approval for their Fiscal/Employer Agent (F/EA) to change Department of Social Services (DSS) Criminal Background Process without prior approval by Department of Medical Assistance Services (DMAS). |
| 19947 | 8/31/2021 | 5 | Reporting | Aetna submitted four (4) SA Medical files to CRMS Production without approval from DMAS. This incident will again lead to inaccurate data in the production environment and delays to critical projects for DMAS while the error is addressed. |
| 19927 | 7/16/2021 | 5 | Other | System issues impacting CRMS SA data submission. |
| 19588 | 2/23/2021 | 1 | Care Coordination | Inaccurate Level of Care (LOC) assessment. |