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Care Guidelines and Review Criteria The VMC Care Management Committee of the Board has approved the use of Milliman USA care guidelines for inpatient concurrent utilization review and for procedures requiring pre-certification. Hayes is used for evaluation of the new technology and Apollo Managed Care Guidelines are used as a supplemental reference. The criteria used to make individual utilization management decisions is available to providers and members upon request.
Your VMC Nurse Case Managers
Damian Albano, R.N., CCM Amy Bannister, R.N., CCM Kitty Emerson, R.N., CCM Kellie Halsted, R.N., CCM Jeanette Iverson, R.N., CCM Darlene Morgan, R.N., CCM Carol Palmer, R.N., CCM RN On-Call 24/7 VMC offers nurse reviewer availability 24 hours a day, 7 days a
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