Utilization Management

Provider Utilization Management
The Upper Peninsula Health Plan uses an integrated approach to coordinate and promote optimal utilization of health care resources, make utilization decisions that affect the healthcare of members in a fair, impartial, and consistent manner, and assist with transition to alternative care when benefits end, should a member no longer be eligible for Upper Peninsula Health Plan benefits.

Upper Peninsula Health Plan Clinical Services contact information:

Toll Free Telephone: 1-800-835-2556

Direct UM Telephone: 1-906-225-7774

UM Fax: 1-906-225-9269

Authorization Process

Utilization Management Criteria

Utilization Management Policies

UPHP Skilled Care Notification and Update Form

UPHP Home Health Care Prior Authorization Form

UPHP Home Health Care Prior Authorization Form (fillable version)

UPHP Home Health Care Prior Authorization Tips


Page Last Updated: 08/29/2017