Original Effective Date:
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||06/30/2016||New policy effective July 1, 2016.|
|1.1||02/21/2018||Added a link to the clean, current policy (effective 5/26/2017) and moved the expired policy into the “previous” section.|
|1.2||08/30/2018||Added a link to the clean, current policy (effective 8/29/2018) and moved the expired policy into the “previous” section.|
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