Common use of Utilization Management Requirements Clause in Contracts

Utilization Management Requirements. 11.1.1 The Contractor’s Behavioral Health Medical Director will provide guidance, leadership and oversight of the Contractor’s Utilization Management (UM) program for Contracted Services used by Individuals. The following activities may be carried out in conjunction with the administrative staff or other clinical staff, but are the responsibility of the Behavioral Health Medical Director to oversee:

Utilization Management Requirements. 11.1.1 The Contractor’s Behavioral Health Medical Director will provide guidance, leadership and oversight of the Contractor’s Utilization Management (UM) program for Contracted Services used by IndividualsConsumers. The following activities may be carried out in conjunction with the administrative staff or other clinical staff, but are the responsibility of the Behavioral Health Medical Director to oversee: