State Utilization

The Pennhurst staff will team with you to develop your statewide utilization system, including defining processes for prior authorization, client assessment and the periodic review for developmental disability agency services and mental health services provided to clients of the state Medicaid Programs.

This teaming will be accomplished in an environment of collaboration and consultation with your key stakeholders, executive staff, middle management, line staff and others to ensure consistency with the legislative intent.

Our staff will undertake certain key tasks including:

• Identification of the client population and program goals and objectives
• Development of criteria to be used in service authorization, including specification of the processes and tools
• Establishment of a data-based "registration" system that will allow for input or development of defined levels and types of authorized specific services for defined recipients.
• Propose solutions to utilization problems identified through this analysis
• Development of a quality assurance plan.