Philosophy Statement:
Our Utilization Management departmental philosophy is to support the agency philosophy of enhancing and improving the quality of life of our eligible consumers. We will seek to authorize only person-centered, effective, medically necessary supports and services that are expected to maximize consumer outcomes.
Mission Statement:
In compliance with all regulatory, governing and accrediting bodies, the Utilization Management department will review and authorize services to eligible consumer in a manner that maximizes treatment effectiveness and is fiscally responsible with public funds.
Vision Statement:
The Utilization Management department will assist the PIHP in providing superior services and becoming a community leader in determining the optimal level of care -- at the right time, to the right consumer in the right setting -- so that consumer outcomes are maximized and PIHP resources are responsibly allocated.