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Frequently Asked Questions Insurance

For Plans that delegate to a vendor for the modules (e.g., Behavioral Health, Case Management), what evidence will OPM require Plans to submit to meet these requirements?

Plans delegating any of the modules listed in Carrier Letter 2014-10 are required to submit documentation of the vendor’s accreditation, including the name of the entity, the expiration date of the accreditation, and a link to the searchable site of the accrediting entity’s records for verification. OPM may ask for additional information on a case-by-case basis.

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