Utilization Management

Utilization Management

Find information, standards and policies for the Humana Behavioral Health utilization management processes.

Utilization Management Process

An overview of the process Humana Behavioral Health uses to determine the best way to resolve patient behavioral health problems.

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Utilization Management Policies

Includes guidelines for discussing utilization management denial decisions and Humana Behavioral Health's affirmative statement regarding incentives.

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Medical Necessity Criteria

An overview of the standards Humana Behavioral Health uses for making utilization management decisions.

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