Utilization Management

Ensuring the right service is provided at the right time in the right amount.


MDHHS / PIHP Service Authorization Denials Reporting

Region 10 PIHP recently received a new MDHHS reporting requirement in the area of Service Authorization Denials. The mandatory template, MDHHS_PIHP Service Authorization Denials Reporting Template, requires the PIHP and CMH providers to provide documentation of all Denied Service Authorizations. You will find the report template below.

Excel DocumentMDHHS / PIHP Service Authorization Denials Reporting Template


Utilization Management (UM) Annual Plan 

Utilization Management (UM) Annual Plan