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Get updates on reimbursement policy changes

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Get updates on reimbursement policy changes

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Get updates on reimbursement policy changes

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Claims and Payments

Eligibility and Benefits

Policies and Protocols

Prior Authorization and Notification

Latest UnitedHealthcare Provider News

12/2021: December 2021 policy and protocol updates overview

Last Modified | 11.30.2021

Prior authorization updates and requirements for radiology, exchange plans and outpatient therapy services. Review the latest UnitedHealthcare medical policy and pharmacy updates.

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Policy and protocol updates

Last Modified | 11.30.2021

This page features important protocol and policy updates. You’ll find 30, 60 and 90-day notices and more.

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12/2021: District of Columbia: Electronic payments required for UnitedHealthcare Community Plan

Last Modified | 11.30.2021

UnitedHealthcare has made changes to its claim payment platform that will eliminate the use of paper checks for claim payments to Community Plan health care professionals in the District of Columbia.

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12/2021:Texas: Medicaid prior authorization changes for 2022

Last Modified | 11.30.2021

Effective Nov. 1, 2021, you’re required to submit a prior authorization for certain drugs used to treat multiple sclerosis (MS) or high phosphate levels in Texas UnitedHealthcare Community Plan members.

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12/2021: Massachusetts: Prior authorization and site of service update

Last Modified | 11.30.2021

We previously announced a Jan. 1, 2022, implementation date for prior authorization and site of service reviews for certain procedures, for commercial plans in Massachusetts. We’re delaying this implementation until further notice.

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