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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. This website is there for what matters to health care professionals like you.

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News

Texas: Hormone drug prior authorization and clinical criteria updates

Starting March 1, 2024, we’re updating prior authorization and clinical criteria requirements for some hormone medications.

Improvements to prior authorization process for sacral nerve stimulation for urinary and fecal indications

Starting Oct. 1, we’re improving the prior authorization process for SNS for urinary and fecal indications.

September monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates for September 2024.

New GA modifier requirement for UnitedHealthcare commercial plans

Beginning Feb. 1, 2025, we’re updating the Charging members for non-covered services protocol with a new requirement.

Pharmacy and clinical updates: September 2024

Review the latest drug list and pharmacy updates for September 2024 from UnitedHealthcare.

Specialty Medical Injectable Drug Program updates: September 2024

Specialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Exchange plans for September 2024.