Written Program Description. MCO has a written utilization management program description, which includes, at a minimum, procedures to evaluate medical necessity, criteria used, information sources and the process used to review and approve the provision of medical services.
Appears in 6 contracts
Samples: The Agreement (Centene Corp), The Agreement (Centene Corp), The Agreement (Centene Corp)
Written Program Description. MCO has a written utilization management program description, which description that includes, at a minimum, procedures to evaluate medical necessity, criteria used, information sources and the process used to review and approve the provision of medical services.
Appears in 1 contract
Samples: Amerigroup Corp