The following Obstetrics/Delivery Codes have been improperly denying: 59400, 59510, 59610, & 59618. If you have received a recent denial for one of these codes there is no need to resubmit your claim. United HealthCare has rectified the issue and will be reprocessing your claims. Should you have any questions regarding this, please call Provider Services at 1-800-600-9007
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.
Change in Transportation Vendor Network
Beginning Aug. 1, 2020, the UnitedHealthcare Community Plan Medicaid and UnitedHealthcare Dual Complete (D-SNP) plans will be changing the transportation vendor network.
Ohio Suicide Prevention Initiative
UnitedHealthcare and Optum are partnering with the Ohio Suicide Prevention Foundation to encourage suicide awareness and increase screening for suicidal behavior in patients in primary care provider practices.
ODM is Requiring Providers to Register NPIs for Payments
The Ohio Department of Medicaid (ODM) is now requiring providers who are billing for Medicaid services to register their NPIs with them in accordance to comply with the Ohio Administrative code.
UnitedHealthcare Dual Complete: Ohio Members Matched with a Navigator
The UnitedHealthcare Dual Complete® plan will now pair our members with a Navigator, a go-to-person for support, to assist them every step of the way on their health journey in Ohio.
Ohio Department of Medicaid Telehealth Unified Policy
In order to ensure that all Ohio Medicaid members have needed access to care, the Ohio Department of Medicaid (ODM) and Medicaid Managed Care Plans (MCPs) are increasing the scope and scale of reimbursement for telehealth services for Medicaid recipients during the duration of the COVID-19 emergency.
Diabetic Self-Management Education (DSME) benefits for your patients now covered.