Utilization management (UM) is the process by which a local mental health authority (LMHA) ensures that
- People receive timely, quality, cost-effective services in the most appropriate treatment setting; and
- LMHAs have an effective mechanism to manage the utilization of clinical resources.
By implementing UM activities, the LMHA strives to achieve a balance between the demand for services, availability of resources, and the needs and well-being of people who need mental health services.
TRR requires the development of standardized, evidenced-based practices that are provided to address a person's identified needs. The clinical guidelines identify the evidence-based services, amount, duration, and scope of the delivery for the services, as well as the population being served.
The UM Manual is a document that provides a resource for technical assistance to LMHA’s to develop and monitor their local UM Programs and UM Processes.
The UM Guidelines are to be utilized by the LMHAs to implement a UM Program. The UM Guidelines contain DSHS approved processes and procedures for key UM components.