Case Study
How Ohio and HMS Improved Psychiatric Review
OVERVIEW In 2013, Ohio Mental Health and Addiction Services (OhioMHAS) awarded a contract to HMS to perform utilization review for its inpatient psychiatric and Community Psychiatric Supportive Treatment (CPST) programs. One of the key goals: Improve negative provider relations. HMS conducts prior authorization as well as post-payment desk audits and on-site audits for inpatient psychiatric admissions, and prior authorization of CPST requests