October 1st, 2004
In-house Utilization Review Services Initiated
Effective October 1, 2004, CorrectCare implemented in-house utilization review
services. After less than one year of collaberation with the Kentucky
Department of Corrections, we identified the need for utilization review to
be more corrections-specific than current commercial utilization review
practices. Our department includes two RNs for reviews, an RN supervisor,
and a Medical Director. Our UR department can easily combine correctional
policies and protocols with the Commercial Standards. This has quickly
proved to be another step toward greater medical cost reductions and more
efficient operation of correctional medical care delivery.