Services We Offer
Managed Care Services
- Proven high-quality and cost-effective Managed Care system; using a variety of managed care tools, including:
- Discounted fee for service
- Preferred provider networks
- Utilization Management
- Retrospective review
- Case Management
On-site health services (medical, dental, and mental) which meet national accreditation standards.
Off-site health services through negotiated contracts with community medical resources (out-patient specialty, emergency room, and inpatient care
Levels of Care Provided
- Medically Mandatory
Care essential to life and health,and without treatment, rapid deterioration is expected.
- Medically Necessary
Care not immediately life threatening, but without treatment, the patient could not be maintained without significant risk.
Access to Care Standards
- Initial comprehensive evaluation within 7 days.
- Sick-call visits within 48 hours (weekdays) to 72 hours (weekends)
- Expedited specialty care within 30 days.
- Routine specialty care within 180 days.