Utilization management (UM) is the management of resources to maximize the effectiveness of the medical care provided to you. The doctors and employees who make UM decisions sign the following statement annually.

 One of the California State Senate Bills (SB59) has had a major impact on managed care.   As a result, this organization is making information available to you regarding criteria or guidelines utilized for specific procedures or conditions.  We are currently disseminating this information through our website, which is linked to your Health plan/HMO. 

Please be aware that the materials provided to you (on this website) are guidelines used which are used to authorize, modify, or deny care for persons with similar illness or conditions.  Specific care and treatment may vary depending on individual need and the benefits covered under your contract.