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14. UTILIZATION MANAGEMENT A. Utilization Management Delegation and MonitoringAPPLIES TO: A. This policy applies to all IEP DualChoice Cal Disconnect Plan (Medicare Medicaid Plan) Members. POLICY:
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To fill out unused referrals as stipulated, follow these steps:
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Gather all the necessary information and documents that pertain to the unused referrals.
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Unused referrals as stipulated may be needed by various individuals or organizations, such as:
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Unused referrals as stipulated refer to referrals that have been issued but not used within a certain time frame.
The entities or individuals responsible for issuing the referrals are required to file unused referrals as stipulated.
Unused referrals should be reported using the specified form or method provided by the governing authority.
The purpose of reporting unused referrals is to track and monitor the usage of referrals and ensure accountability.
The report must include details of the referrals issued, the date of issuance, expiration date, and reason for non-usage.
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