Affirmative Statement

CareFirst CHPDC enrollees and practitioners are advised that (Utilization Management) decision making is based only on the appropriateness of care and service and the existence of coverage. CareFirst CHPDC does not reward practitioners or other individuals for issuing denials of coverage or service care. Financial incentives for the Utilization Management decision makers do not encourage decisions that result in underutilization.

Affirmative Statement