Introduction
Physician Responsibilities
Connecticut State Requirements
Massachussetts State Requirements
Dispute Resolution
Recredentialing
Medical Record Review Standards
Site Visits
Leave of Absence Policy
Locum Tenens Policy
Physician Compliance
Termination and Appeals
Reassessment Program (HDO Only)
Pharmacy & Therapeutics Committee
Pharmacy Preauthorization Requirements
Specialty Prescription Drugs
Generic Substitution Program
Managed Drug Limitations
Benefit Exclusions
Mental Health and Substance Abuse Services
Bone Marrow and Organ Transplants
Maternity Program
Kidney Stone Prevention
Transplant Care Management
Provider Appeals
Inpatient Hospital Readmission Review
Kidney Resources Services
Peer-to-Peer Resources