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Service Area Statement

Routine Reports

Service area statement

Report Category
Benefit Proposal and Brochure Production
Frequency
With any request to expand service area
Required of
HMOs
Due Date
With benefit proposal, when applicable
Reference
Contract §1.7
Guidance
OIP instructions. Example: CL 2001-01 (annual call letter follow-up)
Contact
ISP/HIG I/Contract Specialist
Reporting Form
Statement About Service Area Expansion
Control Panel