Previous Bulletins were issued on April 13, May 18, and June 10, 2020, detailing a temporary suspension of utilization review to align with a mandate from The Department of Human Services, Office of Mental Health and Substance Abuse Services (OMHSAS) Pennsylvania Office.

This Bulletin, effective October 1, 2021, serves as a comprehensive overview of our return to utilization review and a phased approach for implementing retrospective reviews.

Click here to read the complete Bulletin.