To view the new 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||07/01/2015||Replaced the link to the 90-day notice with a link to the clean, current version and moved the previous version into the "previous" section.|
|1.2||01/26/2016||Added a link to the clean, current policy and moved the expired policy into the “previous” section.|
|1.3||04/06/2017||Added a link to the clean, current policy and moved the expired policy into the “previous” section.|
|1.4||069/04/201||Added a new link to the clean, current policy (effective 01/01/2019) which replaced the 90-day notice and moved the expired policy into the “previous” section. The 90-day notice policy was removed.|
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