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(PDF file) (annual call letter follow-up)

Contact

ISP/HIG I/Contract Specialist

Reporting Form

Statement About Service Area Expansion(PDF file)