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Health Plan Activities/Policies

Medical Necessity

The WSMA believes health plans should define medical necessity by a reasonably prudent physician standard, rather than the opinion of the medical director of a health insurance company. (Res C 9, A 99) (Reaffirmed A-17)

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Abbreviations for House of Delegates report origination:

EC – Executive Committee; BT – Board of Trustees; CPA – Council on Professional Affairs; JC – Judicial Council; CHS – Community and Health Services

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