Forms and Resources for
PromiseCare Providers


Forms for Providers

Standards and Training Resources

Affirmative Statement

  1. Utilization Management decision-making is based only on appropriateness of care and service and the existence of coverage.
  2. The delegate does not specifically reward practitioners or other individuals conducting utilization reviews for issuing denials of coverage.
  3. Financial incentives for Utilization Management decision-makers do not encourage decisions that result in under-utilization.