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Medicaid Inpatient Psychiatric and Detoxification Utilization

Budget Information

Appropriation ID - 15000 Global Commitment

What We Do

The Clinical Integrity Unit (CIU) is responsible for the utilization management of mental health and detoxification services. The team works toward the integration and coordination of services provided to Vermont Medicaid members with substance use disorders and mental health needs. The team performs utilization management activities; including concurrent review and authorization of mental health, eating disorder treatment, and substance use detoxification services. The CIU also administers the Team Care program, which locks a member to a single prescriber and a single pharmacy. In addition, the Autism Specialist authorizes applied behavior analysis (ABA) services for children.  The CIU also engages in Medical Record Reviews to support quality initiatives.

Partners

  • Department of Mental Health Adult and Children and Families Units,
  • Department of Disabilities, Aging and Independent Living,
  • Department for Children and Families,
  • Integrated Family Services,
  • Designated Hospitals,
  • Designated Agencies,
  • Special Service Agencies,
  • Vermont Chronic Care Initiative

How We Impact

The CIU serves Vermont Medicaid members who require mental health inpatient and detoxification services, eating disorder treatment, and ABA services.

Clear Impact Suite is an easy-to-use, web-based software platform that helps your staff collaborate with external stakeholders and community partners by utilizing the combination of data collection, performance reporting, and program planning.

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