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.
MDHHS / PIHP Service Authorization Denials Reporting Template
Utilization Management (UM) Redesign Pilot Project
Posted below are links to essential documents in connection to the Region 10 PIHP UM Redesign Pilot Project. With the assistance of your CMHSP representatives participating on the UM Redesign Pilot Project Implementation Work Group, this web page will help keep you informed and up-to-date as we move forward with Pilot activities.
Pilot Project Kiosk - Questions and Answers
The Pilot Project Kiosk - Questions and Answers document contains PIHP responses to all of your questions and feedback gathered during the trainings and webinars. It will be routinely updated as pending questions and feedback are fully addressed, and as additional questions and feedback are received.
October 23, 2019 Pilot Project Kiosk - Questions and Answers
September 5, 2019 Pilot Project Kiosk - Questions and Answers
July 26, 2019 Pilot Project Kiosk - Questions and Answers
June 10, 2019 Pilot Project Kiosk - Questions and Answers
May 28, 2019 Pilot Project Kiosk - Questions and Answers
Additional Resources
Posted below are other essential training and webinar documents for your reference.
Utilization Management (UM): A Primer