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Carriers asked how far back mitigating documentation should go; DFR to follow up
Summary
The division asked carriers to report reasons for exceptions (HPSA, low-income ZIP) and to document contracting or mitigating measures; a carrier asked how far back the documentation should extend and the division said it will determine scope and report back.
Spencer Peacock (CFR) walked through two exceptions tabs (health professional shortage areas and low-income ZIP codes), described the HRSA-derived reason list and the ability to report which standards (time, distance, wait) were not met, and listed common reasons (lack of available providers, unwillingness to contract, departure/closure). He said carriers may attach contracting documents and mark mitigating measures in the template.
Gary asked how far back carriers must produce documentation of their contracting efforts; Spencer said the division will discuss the scope internally and follow up with an answer.
