On this page is a compilation of the obsolete pages as they correspond to the revision date. Click on a date to see the manual chapter page(s) prior to the revision.

Page replaced from 06/26/2025 revision – Section 17.0 – Overview

Page replaced from 06/26/2025 revision – Section 17.1 – Covered Services

Page replaced from 06/26/2025 revision – Section 17.2 – Provider Requirements

Page replaced from 06/26/2025 revision – Section 17.3 – Reimbursement

Page replaced from 06/26/2025 revision – Appendix B – Claims Filing

Page replaced from 05/10/2024 revision – Title Page

Page replaced from 02/23/2024 revision – Section 17.1 – Covered Services

Page replaced from 05/26/2022 revision – Section 17.0 – Overview

Page replaced from 05/26/2022 revision – Section 17.1 – Covered Services

Page replaced from 05/26/2022 revision – Section 17.3 – Reimbursement

Page replaced from 05/26/2022 revision – Appendix B – Claims Filing

Page replaced from 09/20/2021 revision – Table of Contents

Page replaced from 09/20/2021 revision – Section 17.0 – Overview

Page replaced from 09/20/2021 revision – Section 17.1 – Covered Services

Page replaced from 09/20/2021 revision – Section 17.2 – Provider Requirements

Page replaced from 09/20/2021 revision – Section 17.3 – Reimbursement

Page replaced from 09/20/2021 revision – Appendix B – Claims Filing

Page replaced from 01/23/2021 revision – Section 17.1 – Covered Services

Pages replaced from 01/23/2021 revision – Appendix A – Contact Information

Page replaced from 01/10/2020 revision – Title Page

Pages replaced from 05/03/2018 revision – Appendix B – Claims Filing

Page replaced from 06/15/2016 revision – Title Page

Pages replaced from 06/15/2016 revision – Appendix B – Claims Filing

Page replaced from 09/28/2015 revision – Title Page

Pages replaced from 09/28/2015 revision – Appendix B – Claims Filing

Page replaced from 05/02/2014 revision – Section 17.3 – ESRD - Reimbursement

Page replaced from 07/17/2012 revision – Section 17 – Table of Contents

Page replaced from 07/17/2012 revision – Section 17.2 – ESRD – Provider Requirements

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