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Utilization Management (UM) Program Policy

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The Partners’ Tailored Plan Utilization Management (UM) program has an integrated system of care for its members. The program looks at a member’s need for:

  • Behavioral Health Services
  • Crisis Services
  • Physical Health Services
  • Long Term Supports and Services
  • Traumatic Brain Injury Services
  • Intellectual and Developmental Disability Services
  • Pharmacy Services
  • Other Unmet Service Needs

Our program brings together the knowledge of Carolina Complete Health, CVS Caremark, and Partners to create this approach. Partners works side-by-side with our health care teams to best meet the member’s whole health needs.

Read the entire UM Program Policy.

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