The Utilization Management (UM) Department ensures that individuals have equitable access to appropriate care across the Partners catchment area.

UM ensures quality services through compliance with clinical guidelines. This “compliance” results in individuals receiving services that:

  • Support recovery
  • Reflect enrollee preferences
  • Are efficient and cost effective
  • Occur in the most appropriate and least restrictive setting
  • Are consistent with medical necessity criteria and
  • Promote evidence-based practices.

To reach the Utilization Management Department, please call 1-877-864-1454.