Once a provider submits a treatment authorization request, an MCO case manager may call the provider to ask for further clarification. A great deal more information may be shared as a result. It is not clear how often this occurs, as providers and MCOs were not able to give precise figures. As mentioned in Chapter I, one MCO said that it hopes to have to follow up only on 10 to 15 percent of outpatient cases.
"MHPrivacy.pdf" (pdf, 768.25Kb)
"appen-b.pdf" (pdf, 224.4Kb)