Utilization Management (UM)

Review NCQA's Utilization Management (UM) Accreditation. Utilization management helps ensure that patients have the proper care and the required services without overusing resources. NCQA Utilization Management Accreditation helps guarantee that organizations making these decisions are following objective, evidence-based best practices.

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  1. 2023 UM/CR/Provider Network Standards and Guidelines (web-based)
    2023 UM/CR/Provider Network Standards and Guidelines (web-based)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2023 - JUNE 30, 2024
    As low as $275.00
  2. 2023 UM/CR/Provider Network File Review Access (web-based)
    2023 UM/CR/Provider Network File Review Access (web-based)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2023 - JUNE 30, 2024
    As low as $275.00
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