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  3. RAMQ criteria vs. notes
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RAMQ criteria vs. notes

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  • A Offline
    A Offline
    ALee
    wrote last edited by
    #1

    The Advisory on Provincial Formulary Statements distinguishes 'reimbursement criteria' from 'definitions and notes'. Per the RAMQ Advisory, coverage claims must be accompanied by 'reimbursement criteria'. Can you please confirm if the 'definitions and notes' portion of the RAMQ listings are required to appear in APS? These usually deal with initial authorizations and continuing requests, and are not technically criteria.

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