We’re proud to share that Maximus U.S. Services has again earned URAC full accreditation for Health Utilization Management for clinical review criteria, pre-review screening, initial clinical review, and clinical decisions. This accreditation is a demonstration of excellence in reviewer qualifications and efficient timelines that are part of the clinical assessment services we provide to state agencies.
URAC is the independent leader in promoting healthcare quality by setting high standards for clinical practice, consumer protections, performance measurement, operations infrastructure, and risk management. By achieving this status, we’ve demonstrated our commitment to quality care, enhanced processes, patient safety, and improved outcomes as it helps government agencies optimize the efficiency of their programs while complying with state and federal regulations.
“The Health Utilization Management accreditation serves as a testament to our clinical quality standards and ability to deliver consistent, unbiased determinations for public health programs. By earning this accreditation again, we’re demonstrating our unwavering commitment to excellence in person-centered care,” said Christa Ballew, Senior Managing Director for Clinical Services, Maximus. “When state governments select Maximus to support their critical healthcare programs, they know they are working with a partner that values quality and accountability when meeting the needs of people seeking services and supports.”
The URAC accreditation process facilitates learning and continuous quality improvement through a framework that enables organizations to assess and improve clinical care and program operations. We submitted comprehensive policies, procedures, workflows, and other organizational information for review. URAC’s accreditation process validates compliance with nationally recognized healthcare standards and supports improvements and innovation in care management and service delivery for the long term.
“Healthcare professionals know that utilization management is an important component to ensure that people receive the most appropriate care for their particular needs. We are proud to recognize Maximus for achieving URAC’s Health Utilization Management Accreditation,” said URAC’s President and CEO Shawn Griffin, MD.
In addition to the URAC accreditation for Health Utilization Management earned by Maximus U.S. Services, Maximus Federal Services has been granted full accreditation by URAC for Credentials Verification Organization, Independent Review Organization, and Workers’ Compensation Utilization Management. Maximus holds several certifications and accreditations across our global operations.