Changes to Utilization Management Components Sample Clauses
The "Changes to Utilization Management Components" clause defines the process and authority for modifying the procedures, criteria, or tools used to review and manage the use of healthcare services. Typically, this clause outlines how updates to utilization review protocols, prior authorization requirements, or clinical guidelines can be implemented, often specifying notice periods or approval requirements. Its core function is to provide a structured mechanism for adapting utilization management practices in response to evolving standards or operational needs, ensuring both parties are aware of and can respond to such changes.
Changes to Utilization Management Components. The Health Plan shall provide no less than thirty (30) calendar days’ written notice to BMHC before making any changes to the administration and/or management procedures and/or authorization, denial or review procedures, including any delegations, as described in this section.
Changes to Utilization Management Components a. The Health Plan shall provide no less than thirty (30) Calendar Days written notice before making any changes to the administration and/or management procedures and/or authorization, denial or review procedures, including any delegations, as described in this section.