Uniform Medical Plan

Medical management programs

The following medical management programs will apply to UMP members effective January 1, 2020 (except as noted below). Note: HTCC decisions will be incorporated, as appropriate.

Sleep Medicine: Services subject to the program's pre-authorization requirements

Physical Medicine:

  • Most services are subject to the program's pre-authorization requirements
  • Pain management, spine and joint services subject to the program's pre-authorization requirements
  • Physical, speech and occupational therapy services subject to the program's pre-authorization requirement. Note: The effective date of this program is March 1, 2020

Radiology: Services subject to the Advanced Imaging Authorization program's pre-authorization requirements

Learn more about these programs.

Care management programs

UMP offers several programs to help members improve their health, including knee and hip replacement, spine care, diabetes prevention and management, tobacco cessation and maternity support.
Learn about these programs for PEBB and SEBB members.