December 18, 2020 at 4:00 PM CT
COVID-19 Vaccine Information
Expanded information about COVID-19 vaccine administration billing and reimbursement is now available from UnitedHealthcare. We’ve also created a self-paced online course with step-by-step instructions, and we’ve updated our UnitedHealthcare COVID-19 Billing Guide to provide additional guidance to health care professionals.
Click here for more information from the U.S. Food and Drug Administration (FDA) on COVID-19 vaccines authorized for emergency use.
Claims and Payments
Eligibility and Benefits
Policies and Protocols
Prior Authorization and Notification
Latest UnitedHealthcare Provider News
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New Optum Pay™ premium features make managing payments
Last Modified | 01.19.2021
Tagline/blurb Begin your free trial with Optum Pay, new features and functionality available.
Read Full Article -
Kentucky Provider Orientation Webinar
Last Modified | 01.15.2021
As you and your staff begin providing care to new UnitedHealthcare Community Plan of Kentucky members in the Medicaid program, we want to make sure you have the information you need to do business with us. This new Medicaid program is for members currently enrolled in the state’s Medicaid, Children’s Health Insurance Program (CHIP), Aged, Blind or Disabled children and adults who are not eligible for Medicare. The program is available statewide as of Jan. 1, 2021.
Read Full Article -
Genetic testing for hereditary cancer unproven codes
Last Modified | 01.15.2021
Starting Dec. 1, 2020, 11 codes will deny as unproven per the Genetic Testing for Hereditary Cancer medical policy.
Read Full Article -
Ohio Community Plan Prenatal Risk Assessment form incentives
Last Modified | 01.15.2021
Prenatal Risk Assessment forms (PRAF) are important for the care and referral of patients. They also help ensure that moms receive the best support for a healthy pregnancy. When you fill out the form, we’re notified of the member’s pregnancy, so we can enroll the mom-to-be in our Maternity Management programs as soon as possible.
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Pennsylvania - new requirements for skilled shift care services
Last Modified | 01.15.2021
Effective Jan. 1, 2021, we’ve implemented new documentation requirements for providers submitting a new prior authorization request for skilled shift care services. This applies to UnitedHealthcare Community Plan members, ages 21 and younger. in Pennsylvania.
Read Full Article
New Optum Pay™ premium features make managing payments
Last Modified | 01.19.2021
Tagline/blurb Begin your free trial with Optum Pay, new features and functionality available.
Read Full ArticleKentucky Provider Orientation Webinar
Last Modified | 01.15.2021
As you and your staff begin providing care to new UnitedHealthcare Community Plan of Kentucky members in the Medicaid program, we want to make sure you have the information you need to do business with us. This new Medicaid program is for members currently enrolled in the state’s Medicaid, Children’s Health Insurance Program (CHIP), Aged, Blind or Disabled children and adults who are not eligible for Medicare. The program is available statewide as of Jan. 1, 2021.
Read Full ArticleGenetic testing for hereditary cancer unproven codes
Last Modified | 01.15.2021
Starting Dec. 1, 2020, 11 codes will deny as unproven per the Genetic Testing for Hereditary Cancer medical policy.
Read Full ArticleOhio Community Plan Prenatal Risk Assessment form incentives
Last Modified | 01.15.2021
Prenatal Risk Assessment forms (PRAF) are important for the care and referral of patients. They also help ensure that moms receive the best support for a healthy pregnancy. When you fill out the form, we’re notified of the member’s pregnancy, so we can enroll the mom-to-be in our Maternity Management programs as soon as possible.
Read Full ArticlePennsylvania - new requirements for skilled shift care services
Last Modified | 01.15.2021
Effective Jan. 1, 2021, we’ve implemented new documentation requirements for providers submitting a new prior authorization request for skilled shift care services. This applies to UnitedHealthcare Community Plan members, ages 21 and younger. in Pennsylvania.
Read Full Article
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