Utilization Management Program. Contractor shall develop, implement, and continuously update and improve, a Utilization Management (UM) program that ensures appropriate processes are used to review and approve the provision of Medically Necessary Covered Services. Contractor is responsible to ensure that the UM program includes:
Appears in 4 contracts
Samples: Standard Agreement (Molina Healthcare Inc), www.acgov.org, www.edcgov.us
Utilization Management Program. ββ Contractor shall develop, implement, and continuously update and improve, a Utilization Management (UM) program that ensures appropriate processes are used to review and approve the provision of Medically Necessary Covered Services. Contractor is responsible to ensure that the UM program includes:
Appears in 1 contract
Samples: www.dhcs.ca.gov
