To view the current medical policy, please click the link below:
To view previous versions of this policy that are now expired, please click on the links below:
|Rev#:||Date:||Nature of Change:|
|1.0||12/26/2013||Replaced the 90-day notice with a clean ,current policy version.|
|1.1||09/30/2014||Added a link to the 90-day notice effective 02/2015.|
|1.1||09/30/2014||Replaced the 90-day notice policy version with the current version. Moved the current policy to the "previous" section.|
|1.2||10/28/2014||Added a link to the clean, current policy and moved the expired policy into the “previous” section.|
|1.3||01/06/2017||Added a link to the current policy and moved the expired policy into the “previous” section.|
|1.4||09/30/2017||Added a link to the new 90-day notice version of this policy, effective 01/01/2018.|
|1.4||09/30/2017||Added a link to the clean, current policy effective 1/1/18 (which replaced the 90-day notice) and moved the expired policy into the “previous” section. The 90-day notice policy was removed.|
|1.5||10/22/2018||Added a new link to the clean, current policy (effective 09/28/2018) and moved the expired policy into the “previous” section.|
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