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.

Select Prior Authorization Suspensions Now in Effect

The temporary suspensions apply to in-network hospitals and in-network Skilled Nursing Facilities nationwide, effective Dec. 18, 2020 through Jan. 31, 2021.

Learn More

Select Prior Authorization Suspensions Now in Effect

The temporary suspensions apply to in-network hospitals and in-network Skilled Nursing Facilities nationwide, effective Dec. 18, 2020 through Jan. 31, 2021.

Learn More

Claims and Payments

Eligibility and Benefits

Policies and Protocols

Prior Authorization and Notification

Latest UnitedHealthcare Provider News

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.

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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.

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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.

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Find COVID-19 vaccine availability for your state or territory

Last Modified | 01.15.2021

Your state’s health department has information about local COVID-19 vaccine availability.

Read Full Article
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