URAC CM 7 -- v. 3.1 revision


Case Management standard 7, dealing with Case Management Knowledge Domains, gets a good housecleaning in the v. 3.1 revision.  The only substantive change is the elimination of a requirement that case managers be trained in URAC's current Case Management standards.  Since Core 7 requires URAC training on the applicable standards in any event, this was an unnecessary clause.  The rest of it is simply the breaking up into 4 separate subsections what was once a single subsection, allowing the reviewer more precise scoring.

The v. 3.0 version read:

The organization requires case managers to be educated in current principles, procedures, and knowledge domains of case management based on nationally recognized standards of case management. Such education includes: (Prim)
(a) The organization’s case management process, policies and procedures; state-specific requirements; professional roles and resources; and requirements specific to the clinical or payer populations being served; (Primary)
(b) URAC’s current Case Management Standards; and (Secondary)
(c) Relevant professional education on at least an annual basis. (Secondary)

The v. 3.1 version now reads:

The organization requires case managers to be educated in current principles, procedures, and knowledge domains of case management based on nationally recognized standards of case management. Such education includes: (Primary)
(a) The organization’s case management process, policies and procedures; (Primary)
(b) Applicable regulatory requirements; (Prim)
(c) Professional roles and resources; (Primary)
(d) Requirements specific to the clinical or payer populations being served; and (Primary)
(e) Relevant professional education on at least an annual basis. (Secondary)