On June 1, 2023, UnitedHealthcare will require advance notification for non-screening gastroenterology procedures.

On the new gastroenterology prior authorization and notification page you will find updated guidelines for UnitedHealthcare commercial plans and UnitedHealthcare Oxford plans, a prior authorization for gastroenterology services FAQ, a prior authorization CPT® code list and crosswalk table.

UnitedHealthcare Community Plan of Virginia will complete its transition to Virginia’s rebranded Medicaid program, called Cardinal Care, later in 2023.

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

Medical policy updates for June 2023 for the following plans: Medicare, Medicaid, Exchanges, and Commercial.

This pharmacist-led program evaluates medication therapy for indication, effectiveness, safety and the patient’s ability to take their medications as prescribed. We use data obtained through pharmacy claims, medical claims and self-reporting.