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 03/17/2025 revision – Section 36.0 – Overview

Page replaced from 03/17/2025 revision – Section 36.1 – Covered Services

Page replaced from 03/17/2025 revision – Section 36.3 – Provider Requirements

Page replaced from 03/17/2025 revision – Section 36.4 – Reimbursement

Page replaced from 03/17/2025 revision – Appendix A – Fee Schedule

Page replaced from 03/17/2025 revision – Appendix B – Contact Information

Page replaced from 05/17/2024 revision – Title Page

Page replaced from 04/23/2024 revision – Title Page

Page replaced from 04/27/2022 revision – Section 36.0 – Overview

Page replaced from 04/27/2022 revision – Section 36.1 – Covered Services

Page replaced from 04/27/2022 revision – Section 36.3 – Provider Requirements

Page replaced from 04/27/2022 revision – Section 36.4 – Reimbursement

Page replaced from 04/27/2022 revision – Appendix A – Fee Schedule

Page replaced from 04/27/2022 revision – Appendix B – Contact Information

Page replaced from 08/26/2021 revision – Table of Contents

Page replaced from 08/26/2021 revision – Section 36.0 – Overview

Page replaced from 08/26/2021 revision – Section 36.1 – Covered Services

Page replaced from 08/26/2021 revision – Section 36.2 – Beneficiary Requirements

Page replaced from 08/26/2021 revision – Section 36.3 – Provider Requirements

Page replaced from 02/26/2021 revision – Appendix A – Fee Schedule

Page replaced from 02/26/2021 revision – Appendix B – Contact Information

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

Page replaced from 09/22/2015 revision – Title Page

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