CLINICAL MODEL

In collaboration with IDHW members and providers, Optum is developing, implementing and maintaining a utilization management program for the Idaho Behavioral Health Plan to monitor the appropriate utilization of covered services.  The Clinical Model has recently been updated and can be used as a current resource for information on the utilization management process.  View the Clinical Model and the specific change log effective 05/02/2016.  

The Optum Wellness Assessment is an integral part of the Idaho Clinical Model.  Analyses demonstrate that the Wellness Assessment scales, comprised of items from well-validated public domain scales, are both valid and reliable. Both have been independently validated to ensure psychometric integrity as an outcome tool and to affirm the tool's use as an objective assessment tool with external credibility. Please reference a more detailed discussion of the Global Distress Scale , and its reliability and validity, for additional detail.

Guided Training for Clinical Model

View the Clinical Model Training side deck and the Secure Message Center reference guide.