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Resources

Resources We Provide

We provide resources to our patients to help navigate our health system's clinical and administrative services.  We partner with our contracted Health Plans, providing them essential data on our providers and processes.  We also guide Non-DHS providers in accessing services for their patients.

Click here if you are our Patient.
Click here if you are one of our Health Plan.
Click here if you are a non-DHS Provider.

UTILIZATION MANAGEMENT POLICY STATEMENTS

Utilization Management Criteria and how you can obtain a copy

Utilization Management criteria used at DHS are available to DHS practitioners, providers, patients/members and their representatives, and the public upon request. To obtain a copy of the criteria used to make utilization management decisions, practitioners, providers, patients/members and their representatives, and the public may contact DHS Managed Care Services at (800) 832-6334.

Affirmative Statement Regarding Incentives for Utilization Management Decisions

DHS is committed to ensuring that our patients/members receive the best and the most appropriate care possible. Utilization management decision making is based only on appropriateness of care and evidence of coverage. DHS does not directly or indirectly reward practitioners or other individuals for issuing denials of coverage, service or care. There are no financial incentives or compensation offered to such individuals, as utilization management decision-makers, to encourage underutilization of services.