This information applies only to members who are receiving radiation therapy services.
For Medicare Advantage members receiving intensity-modulated radiation therapy (IMRT), stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) services, please see Medicare Advantage Therapeutic Radiation Prior Authorization Program.
Prior authorization requirements include the following radiation therapy modalities and services:
Prior authorization for radiation therapy services is required for members with the following coverage:
UnitedHealthcare Commercial Plans effective 04/01/2021
UnitedHealthcare Community Plan effective 10/07/2021
UnitedHealthcare Commercial Plans effective 11/07/2021
We're working with Optum, our affiliate, to support you in managing the prior authorization process. Optum offers solutions to help improve the care provider experience for transactions, such as submitting prior authorization requests. Here's how to submit your request:
You can start the prior authorization process by calling the number on the back of the member’s ID card to provide demographic information and open the case.
For medical policies and criteria, visit UHCprovider.com/policies