Medical Management Programs

CCStpa's medical management programs are included in the administration of your health plan. The programs focus on monitoring and improving clinical effectiveness and the efficiency of health care delivery. Programs include:

  • Pre-admission notification
  • Concurrent review/discharge planning
  • Medical review/prior authorization
  • Medical case management
  • Mental health/chemical dependency case management
  • Utilization review
  • Program integrity (fraud and abuse)

Learn more about reducing health plan costs with health improvement programs: