Utilization Management Policy

UTILIZATION MANAGEMENT POLICY

Utilization Management (UM) is a term used to describe the planning, organizing, directing, and monitoring of health care services for the Sandhills Center's NC Medicaid Direct and Tailored Plan members, and recipients of State-Funded services.

We want services to be affordable and appropriate. Through our UM Policy, we want you to get high-quality care. We do not want to duplicate health care services. Sandhills Center wants to reduce the type of healthcare services that are not helpful for your well-being.

Sandhills Center UM Policy - PDF