Review these bulletins to stay up to date on news, policy changes and other issues important to your practice.
For Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, Utilization Review Guidelines and corresponding update bulletins for UnitedHealthcare Community Plan, visit the Policies and Protocols section.
The UnitedHealthcare Community Plan Case Management program is a holistic approach to care for members with complex needs, especially those with chronic conditions. The goal is to provide our community members with the resources necessary to maintain the highest functional status possible.
The UnitedHealthcare Dual Complete® plan will now pair our members with a Navigator. This is a go-to-person that provides support and helps them every step of the way on their health journey in New Jersey.
UnitedHealthcare would like to emphasize to care providers the appropriate use of antibiotics in children and adults with upper respiratory tract infections.
UnitedHealthcare Community Plan’s members have a right to receive care that is culturally appropriate and respects their cultural and ethnic background and origins.
Office-based addictions treatment (OBAT) is the use of medications in combination with navigator services to coordinate counseling and behavioral therapies to treat both substance use disorder (SUD) and opioid use disorder (OUD).
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services are an important part of preventive care for children.
We believe members who have positive experiences are more likely to follow medical advice and treatment plans from their care provider.