Utilization Management Services Process Changes

October 25, 2013

APS Healthcare is contracted with the State of Maine’s Department of Health and Human Services to provide Utilization Management services. The Office of Child and Family Services (OCFS) in collaboration with APS Healthcare would like to announce the following services which will be incorporated into the APS Healthcare Maine program.

Effective December 1, 2013, APS Healthcare will:

  • Provide Waitlist Management, Classification, and Prior Authorization (PA) for Section 28 Community Based Rehabilitation and Community Support Services. This will replace the current DHHS Central Enrollment process for this service.

  • Manage the Intensive Temporary Residential Treatment Services (ITRT) application process. This will replace the current process established by OCFS. Beginning 12/1/13 the referral source will be required to submit ITRT applications to APS Healthcare. APS Healthcare will provide eligibility determination, waitlist management, and PA of Section 97 Services.

DHHS/OCFS and APS Healthcare will be hosting conference calls to review this new process.

Please click on the links below for more information, the conference call dates and call-in numbers: