| Policy Name | Policy Number | Review Date |
|---|
| 3rd Trimester Pregnancy IPA Transfer Policy | Admin 37 | 11/14/2024 |
| 3rd Trimester Pregnancy IPA Transfer Procedure | Admin 37A | 12/1/2022 |
| A Woman's Principal Healthcare Policy | Admin 44 | 11/20/2025 |
| Ancillary Hospital Institution Care Transition Exceptions Procedure | Admin 11A | 1/22/2026 |
| Automatic Approval Process Policy | Admin 53 | 11/20/2025 |
| Automatic Approval Process Procedure | Admin 53A | 11/20/2025 |
| Contract Management Firms Confidentiality Agreement Policy | Admin 14 | 11/20/2025 |
| Emergency Room Services Policy | UM 1 | 6/24/2025 |
| Emergency Room Services Procedure | UM 1A | 6/24/2025 |
| HMO Administered Complaints Policy | Admin 39 | 8/28/2025 |
| HMO Administered Complaints Procedure | Admin 39A | 8/28/2025 |
| HMO Financial Risk Claims Policy | Admin 67 | 11/20/2025 |
| HMO Financial Risk Claims Procedure | Admin 67A | 11/20/2025 |
| IPA Availability and Accessibility Requirements for Immediate Care Services Policy | Admin 83 | 6/24/2025 |
| IPA Availability and Accessibility Requirements for Immediate Care Services Procedure | Admin 83A | 6/24/2025 |
| IPA Infertility and Fertility Treatment Guidelines | Admin 56 | 1/22/2026 |
| IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy | Admin 22 | 6/24/2025 |
| IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure | Admin 22A | 6/24/2025 |
| IPA Process for Establishing Out of Area for Emergency Services Policy | Admin 23 | 6/24/2025 |
| IPA Process for Establishing Out of Area for Emergency Services Procedure | Admin 23A | 6/24/2025 |
| IPAs Request for Member Transfer Policy | Admin 28 | 6/26/2025 |
| IPAs Request for Member Transfer Procedure | Admin 28A | 6/26/2025 |
| Member Access to Behavioral Health Services Policy | Admin 64 | 6/23/2025 |
| Member Access to Behavioral Health Services Procedure | Admin 64A | 6/23/2025 |
| Member Notification Process when a Provider Leaves the IPA Policy | Admin 82 | 4/1/2023 |
| Member Notification Process when a Provider Leaves the IPA Procedure | Admin 82A | 4/1/2023 |
| Newborn Claim Responsibility Policy | Admin 31 | 6/24/2025 |
| Newborn Claim Responsibility Procedure | Admin 31A | 6/24/2025 |
| Past Due Claims Process Policy | Admin 42 | 11/20/2025 |
| Past Due Claims Process Procedure | Admin 42A | 11/20/2025 |
| Physician Access Standards Policy | Admin 10 | 11/20/2025 |
| Primary Care Physician (PCP) Affiliation with Multiple IPAs Policy | Admin 2 | 10/24/2024 |
| Primary Care Physician (PCP) Affiliation with Multiple IPAs Procedure | Admin 2A | 11/1/2022 |
| Retroactive IPA Member Changes Policy | Admin 32 | 8/28/2025 |
| Retroactive IPA Member Changes Procedure | Admin 32A | 10/23/2025 |
| Transition of Medical Care Policy | Med Support 1 | 2/12/2026 |
| Transition of Medical Care Procedure | Med Support 1A | 2/5/2026 |
| UM Fund Challenge Policy | Admin 66 | 6/26/2025 |
| UM Fund Challenge Procedure | Admin 66A | 6/26/2025 |
