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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

2026 Clinical practice guidelines are available online

Link to nationally recognized resources that help inform clinical decision-making and guide high-quality patient care.

November monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates for November 2026.

Reimbursement Policy Update Bulletins: November 2026

You can review the details on reimbursement policy updates for November 2026 through the Commercial, Medicare Advantage, Medicaid and Exchange plan bulletins.

Medical Policy Updates: November 2026

Medical policy updates for November 2026 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.

Pharmacy and clinical updates: November 2026

Explore UnitedHealthcare's November 2026 drug list and pharmacy updates to stay informed on coverage and medication changes.

Specialty Medical Injectable Drug Program updates: November 2026

Review the Specialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Exchange plans for November 2026.

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