To view the current version of this 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||12/31/2014||Replaced the 90-day notice version with the clean version of this policy.|
|1.0||10/29/2015||Added a link to the clean, current policy and moved the expired policy into the “previous” section.|
|1.1||12/20/2016||Added a link to the new 90-day notice policy, effective 5/1/16|
|1.2||06/26/2017||Added a link to the clean, current policy (which replaced the 90-day notice) and moved the expired policy into the “previous” section. The 90-day notice policy was removed.|
|1.3||12/28/2017||Added a link to the clean, current policy effective 12/15/17 and moved the expired policy into the “previous” section.|
|1.4||08/31/2018||Added a new link to the current policy (effective 08/29/2018) and moved the expired policy into the “previous” section.|
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