Common use of Section 8 – Utilization Management Clause in Contracts

Section 8 – Utilization Management. (3 pages, plus 1 additional page for each additional MCO Program bid if the Respondent’s response differs by MCO Program) Utilization Management (UM) requirements are described generally in Section 8.1.8 and specifically for Behavioral Health Services in Section 8.1.15. A Respondent’s response to this submission requirement should address UM for all Covered Services.