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| Please note UM/Access has moved to a new location: |
845 Church Street Commons
Suite 208
Concord, NC 28025
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| What Access Does |
| Access management is a critical function of the Local Management Entity. The LME is responsible for timely response to the needs of consumers and for quick linkages to qualified providers of the network. To ensure the simplicity of the system requested by our consumers and stakeholders, the LME will maintain a 1-800 call system to receive all inquiries. This will include information, access to care, emergency, and network provider assistance. The 1-800 call system will rely on information systems management software to assist in tracking and responding to calls. |
| What Utilization Management Does |
The Utilization Management/Care Coordination Unit of the LME will determine whether a consumer meets target population requirements and/or higher level service needs. Our goal is to ensure that consumers receive the right service at the right level creating the most effective and efficient treatment possible.
The Clinical Advisory Committee will develop Clinical Protocols for services based on best practices and evidence-based practices. Clinical Protocols will be used to guide the review and approval of Emergent/Urgent services as well as Person Centered Plans for those requiring longer-term services.
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| Utilization Management Documents |
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