DCS Comprehensive Health Plan

Concurrent Review, Retrospective Review, Readmissions and Discharge Planning

Statement/Purpose

This policy outlines the Department of Child Safety Comprehensive Health Plan’s (DCS CHP) Utilization Management (UM) activities to determine the medical necessity of inpatient admissions and continued stays.

Definitions

[List definitions not commonly known that are specific to the policy]

Policy

[Policies are the guiding principles and/or rules that ensure consistency and compliance with DCS CHP’s mission, values and strategic goals]

Procedure

[Procedure are high-level actions that guide adherence to policy. Procedures describe the methods used to comply with policy]