The
Utilization Review (UR) Committee is a subcommittee of the Sacramento County
Quality Improvement Committee. This UR committee is comprised of
representatives from Behavioral Health Services, Mental Health County and
Contracted Providers and Division Advocate Liaisons representing clients,
families and youth. The UR Committee is responsible for Sacramento County’s
mental health quality improvement process and ensuring that the mental health
plan is on track to reach quality benchmarks described in the Quality
Assessment and Performance Improvement (QAPI) Work Plan. This includes
reviewing and planning for compliance to regulations and the Department of
Health Care Services (DHCS) Protocol items; following through with the DHCS
triennial plan of correction; preparing for audits; discussing quality
improvement trends found in audits; updating utilization review tools, internal
utilization review minutes and documentation policies and procedures;
discussing updates to documentation trainings; creating helpful quality
improvement resource documents and overseeing the adequacy and appropriateness
of chart documentation.
Utilization Review Tools for Adult and Child Mental Health Charts
Electronic Utilization Review General Tool
Utilization Review Addendum Tools
Avatar Utilization Tool Addendum - Therapeutic Behavioral Services (TBS)
Avatar Utilization Tool Addendum - Day Treatment Intensive (DTI) & Day Rehabilitation (DR)
MHSA Programs Addendum Tool (This Addendum Tool may also be used by Providers who utilize support service codes and flexible funding codes)
Mental Health Urgent Care Clinic Utilization Review Tool
Mental Health Urgent Care Clinic UR Tool
Utilization Review Documents and Resources
Instructions for Avatar UR
MHSA Instructions for Avatar UR - MHSA and Other Programs Utilizing Support Service Codes and Flexible Funding Codes
Internal Utilization Review Minutes Template
McFloop Form
Sacramento County Scanned Document Management
List of Helpful QI Avatar Reports
For Policies & Procedures (P & P) related to Utilization Review, please see our P & P webpage or send an email to QMInformation@saccounty.gov.
