Policies

Provider Manual

This manual is where you can look for policies and procedures.

Preferred Drug List

Utilization Management Medical Policies

We would be happy to provide you with a copy of the criteria we use to make utilization management decisions.  Please contact the UM team at 855-447-2900, Opt 5 for additional information.  You may also email your request for criteria to UUHP_UM@hsc.utah.edu

Provider Policies

Mountain Health CO-OP has contracted with the University of Utah Health Plans to both process claims and oversees our care and utilization management programs. Through these programs, care and utilization management teams assist members in obtaining the right care at the right time. Through their work, these teams help our members achieve the best outcome, using nationally-recognized, evidence-based guidelines.

 

To access the medical policies, select the link below.

https://uhealthplan.utah.edu/medicalpolicy/