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UCP
United Cerebral Palsy |
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UM
Utilization Management (regulation of services in relation to system capacity) |
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Unbundled Services
A method of accounting or reimbursing for services on the basis of individual service components instead of using an all-inclusive rate covering all specified services. Fee for service is an example of unbundled rates. |
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Uniform Portal Access
The standardized process and procedures used to ensure consumer access to, and exit from, public services in accordance with the State Plan. |
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Universal Prevention
Activities aimed at the general population to teach and empower individuals and systems to meet the challenges of life events and transitions by creating and reinforcing healthy behaviors and lifestyles and by reducing risks contributing mental illness, developmental disabilities and substance abuse. |
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UR
Utilization Review (case review to assess medical necessity and appropriateness of care) |
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URAC
Utilization Review Accreditation Commission, now called URAC; one of the agencies recognized by the Division of MHDDSAS and the Division of Medical Assistance to accredit the systems management functions of Local Management Entities (LMEs).
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Utilization
The level of use of a particular service over time. |
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Utilization Management (UM)
A process to regulate the provision of services in relation to the capacity of the system and needs of consumers. This process should guard against under-utilization as well as over-utilization of services to assure that the frequency and type of services fit the needs of consumers. UM is typically an externally imposed process. UTILIZATION REVIEW (UR) -an analysis of services, through systematic case review, with the goal of reviewing the extent to which necessary care was provided and unnecessary care was avoided. UR is typically an internally imposed process. |
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Utilization Review (UR)
An analysis of services, through systematic case review, with the goal of reviewing the extent to which necessary care was provided and unnecessary care was avoided. UR is typically an internally imposed process. |
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