Serving the Oregon Counties of Benton, Crook, Deschutes*, Jefferson, & Lincoln (*including 4 Klamath zip codes)

Home Provider Library Child & Family Utilization Managment Quality Management Clubhouse Corner Outcomes Practice Guidelines Training HIPAA ABHA Policies and Procedures ABHA 2011 Encounter Data Training Follow Up Survey ABHA RFP Provider claims for services to ABHA members are adjudicated by PhTech General Info Member Info. Provider Info.

 

 

ABHA Utilization Management (UM) Program

 

   ABHA UTILIZATION Management Manual

  Appendix 1 - 2011 UM Plan

  Appendix 2 - OHP Prioritized List

  Appendix 3 - Medical Necessity Criteria

  Appendix 4 - Grievance Policy

  Appendix 5 - Outpatient Levels of Care

  Appendix 6 - Contact List Utilization Managers

 

 

 

 

 

 

Last : February 13, 2012

Webmaster: Valerie Davis