Utilization Management

Optimizing Care with Smarter Utilization

Navigating healthcare shouldn’t be complicated. Our Utilization Management page is your go-to resource for everything related to authorizations, clinical criteria, claims, appeals and disputes, and essential provider tools. Stay informed with the latest health services webinar resources and access key information through our provider portal—all designed to support efficient, high-quality care for L.A. Care members. Whether you’re managing approvals or resolving claims, we’re here to streamline the process and keep healthcare moving forward.