In the September edition of the Network Bulletin, we informed you that for dates of service on or after Jan. 1, 2021, for UnitedHealthcare Medicare Advantage Plans we’re expanding our prior authorization requirements and site of service medical necessity reviews to include certain procedures/CPT® codes.
Please note the following changes:
As of Jan. 1, 2021, the revised Utilization Review Guideline can be accessed at Medical & Drug Policies and Coverage Determination Guidelines for UnitedHealthcare commercial plans. Until then, you can view the update to the Utilization Review Guideline in the December edition of our UnitedHealthcare Commercial Medical Policy Update Bulletin.
Questions? Please read our Frequently Asked Questions.