Sharp-Health-Plan policy updates
Track new and updated Sharp-Health-Plan policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| List of Covered Prescription Drugs (4-Tier Large Group HMO/POS) | Sharp-Health-Plan | Clinical | Pharmacy & Specialty Drugs | Modified | May 1, 2026 |
| Covered Prescription Drug List (4-Tier Large Group HMO/POS) | Sharp-Health-Plan | Clinical | Pharmacy & Specialty Drugs | Modified | Apr 1, 2026 |
| FEHB Prescription Drug List (Formulary) — Outpatient Prescription Drug Coverage | Sharp-Health-Plan | Clinical | Pharmacy & Specialty Drugs | Modified | Apr 1, 2026 |
| Sharp Health Plan Prescription Drug List (Formulary) — Employer‑Sponsored Plans | Sharp-Health-Plan | Clinical | Pharmacy & Specialty Drugs | Modified | Mar 1, 2026 |
| List of covered prescription drugs (4 Tier Commercial Large Group HMO and POS) | Sharp-Health-Plan | Clinical | Pharmacy & Specialty Drugs | Modified | Mar 1, 2026 |
| MATERNAL MENTAL HEALTH CASE MANAGEMENT PROGRAM | Sharp-Health-Plan | Clinical | Psychiatry/Behavioral Health | Modified | Jul 1, 2023 |
| Provider Dispute Resolution Overview | Sharp-Health-Plan | Administrative | — | Modified | Jan 1, 2018 |
| Provider Dispute Resolution Overview | Sharp-Health-Plan | Administrative | Other | Modified | — |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.