Managed Care | UC Davis Health

Utilization Management decision-making is based only on appropriateness of care and service and existence of coverage. UC Davis Medical Group does not compensate practitioners or other individuals conducting utilization review for denials of coverage or service. There are no financial incentives for Utilization Management decision-makers to encourage denials of coverage or service or that may result in under-utilization of services.

As a member of the UC Davis Medical Group, you have the right to:

1. Receive information about UC Davis Medical Group, its services, providers and member rights and responsibilities.
2. A discussion of medically necessary or appropriate treatment options for your condition regardless of costs or benefit coverage.
3. File a complaint about the care or services you've received at UC Davis Health or by one of the UC Davis Medical Group providers by calling your Health Plan's Member Service Department (see your Evidence of Coverage Booklet) or the UC Davis Health's Patient Relations Department at 800-305-6540.

If you wish to speak to a nurse case manager or need assistance with the coordination of your care, please call 800-445-3936 and select option 3.

We appreciate the confidence you have shown in us by selecting UC Davis Health for your care needs. If you have any questions about this notice or wish to speak to a member of the Managed Care Department, please call 800-445-3936 and select option 2.

All HMO patients in California have the ability to access their health plans for interpreting/translation services at all points of care while receiving health care services.

At UC Davis Medical Center we are fortunate to have the expertise of the staff in the Medical Interpreting Services Department, and therefore most of our patients will have easy on-site access to our medical interpreting staff.

You can also contact your plan at the following numbers to receive language assistance from your plan.