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Policies and Protocols for Healthcare Providers

This library includes UnitedHealthcare policies and protocols. The policies and protocols presented here may not apply to all UnitedHealthcare plans.



Policy and Protocol news

California: Respond quickly to medical records requests

California UnitedHealthcare commercial plan care providers are legally and contractually required to respond to medical records requests promptly.

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.

October monthly overview

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

Register certain tests for phase 4 of the DEX Z-Codes

Starting Jan. 1, 2025, you can register tests that are in scope for phase 4 of the DEX Z-Codes.

Texas Medicaid: Log ImmTrac2 consent to submit immunization records

Texas Immunization Registry tracks vaccine records for Texas children and helps improve continuity of care.

Washington Medicaid: Less utilization management tasks for ITA members

Learn about new support available to providers caring for UnitedHealthcare Community Plan of Washington members on ITA treatment plans.