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Local Management Entities Utilization Management Information

The North Carolina General Assembly House Bill 2436 Section 10.15 (x) requires the Department of Health and Human Services to return service authorizations, utilization reviews, and utilization management functions to the Local Management Entities (LMEs) for all clients.  By July 1, 2009 Utilization Management (UM) for 30% of the population served must be returned to the LMEs.

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Announcements

The target date for the transition of utilization management functions to the Local Management Entities has been extended. The new target date will be announced after budget decisions are finalized.

Additional information is available in the Medicaid Bulletin.

LME Director's Meeting - September 24, 2008

LME UM Requirements and Procedures Policy

LME UM Proposals

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