{"id":22467,"date":"2022-04-26T09:39:52","date_gmt":"2022-04-26T13:39:52","guid":{"rendered":"\/?page_id=22467"},"modified":"2025-08-29T12:58:06","modified_gmt":"2025-08-29T16:58:06","slug":"um-policy","status":"publish","type":"page","link":"https:\/\/www.vayahealth.com\/es\/about\/policies\/um-policy\/","title":{"rendered":"Pol\u00edtica de gesti\u00f3n de la utilizaci\u00f3n"},"content":{"rendered":"<div class=\"gb-container gb-container-7256b8a9\"><div class=\"gb-inside-container\">\n\n<p>El programa de Gesti\u00f3n de la Utilizaci\u00f3n (UM) de Vaya nos ayuda a tomar buenas decisiones sobre su atenci\u00f3n sanitaria y a gastar de forma responsable el limitado dinero de los contribuyentes. Nuestros m\u00e9dicos de UM eval\u00faan la necesidad m\u00e9dica de los servicios solicitados y ayudan a garantizar que los servicios sean adecuados y eficaces.\u00a0<\/p>\n\n\n\n<p>El programa de UM de Vaya cumple los requisitos del Departamento de Salud y Servicios Humanos de Carolina del Norte. Nuestra Pol\u00edtica y Descripci\u00f3n del Programa de UM describe los objetivos del programa, c\u00f3mo revisamos y tomamos decisiones sobre las solicitudes de servicios, los requisitos del personal de UM, el proceso de apelaci\u00f3n, etc.<\/p>\n\n\n\n<p>Si tiene alguna pregunta, llame a nuestra l\u00ednea de atenci\u00f3n a los afiliados y beneficiarios al <a href=\"tel:1-800-962-9003\" target=\"_blank\" rel=\"noopener\" title=\"\">1-800-962-9003<\/a>.<\/p>\n\n\n<div class=\"gb-button-wrapper gb-button-wrapper-373b3e9f\">\n\n<a class=\"gb-button gb-button-cdb5a565 gb-button-text\" href=\"https:\/\/www.vayahealth.com\/es\/resources\/vaya-health-utilization-management-program\/\" target=\"_blank\" rel=\"noopener noreferrer\">Lea la pol\u00edtica de la UM <\/a>\n\n<\/div>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Vaya\u2019s Utilization Management (UM) program helps us make good decisions about your health care and spend limited taxpayer dollars responsibly. Our UM clinicians evaluate the medical necessity of requested services [&hellip;]<\/p>\n","protected":false},"author":62,"featured_media":0,"parent":25456,"menu_order":93,"comment_status":"closed","ping_status":"closed","template":"breadcrumbs","meta":{"_tec_requires_first_save":true,"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","banner-text":"","banner-text-color":"","button-text":"","button-text-color":"","button-link":"","has-button-icon":"","background-color":"","has-background-icon":"","background-icon-color":"","second-featured-image":"","footnotes":""},"class_list":["post-22467","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.8 - aioseo.com -->\n\t<meta name=\"description\" content=\"Vaya&#039;s Utilization Management Program ensures responsible healthcare decisions and budget allocation in compliance with NCDHHS guidelines. 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