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Resources and tools for providers and health care professionals

We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

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News

New York State Medicaid: Provider revalidation requirements

Review the updated revalidation schedule and online submission requirements.

Individual Exchange PDL updates take effect Jan. 1, 2027

On Jan. 1, 2027, we’re making changes to the prescription drug lists for UnitedHealthcare Individual Exchange plans.

Florida Medicaid: Get prepared for EPNA audits

Prepare for EPNA calls and visits by reviewing appointment access, Medicaid participation and directory accuracy.

Additional oncology medications require prior auth

Effective Jan. 1, 2027, prior authorization will be required for certain colony stimulating factor medication HCPCS codes.

New AMA genetic testing codes require prior authorization

The AMA issues new genetic and molecular codes every quarter, some of which will be added to the program for management.

Get ready for more Choice Plus network members

1978 Retired Construction Workers Benefit Trust members have access to the Choice Plus network on Sept. 1, 2026.

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