Case Manager Community Care for Aged and Disabled Handbook

Section 5000

Utilization Review in Community Care for Aged and Disabled Services
Table of Contents

NOTE: Click on the bold main headings to view sub-topics more quickly.

Overview of Utilization Review

5110: Concurrent Reviews of Randomly Selected Active Cases

Utilization Review Report to the Regions

5210: Other Utilization Review Reporting Processes

Concurrent Review Process

5310: Implementation of Utilization Review Findings

5320: Individual Agreement or Disagreement with the Change

5330: Provider Implementation of the Change

5400: Reporting Implementation of the Utilization Review Findings

5500: Utilization Review Exception Process