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Quality Management and Health Management Programs, OneNet PPO - 2019 UnitedHealthcare Administrative Guide

Quality Management and Health Management Programs

The following exceptions apply to the Health and Disease Management procedures in how they apply to OneNet and OneNet Participants: 

  • UnitedHealthcare Case Management, Behavioral Health and Disease Management programs do not apply to OneNet workers’ compensation. 
  • Do not report OneNet Participant information to the UnitedHealthcare Cancer Registry. 
  • OneNet encourages the use of the Clinical and Preventive Health Guidelines when treating OneNet Participants. 
  • While OneNet encourages the use of resources available on related to mental health/substance use, the processes described for behavioral health consults do not apply to the OneNet PPO Workers’ Compensation Network. If you believe a Participant would benefit from mental health/substance use services due to their job-related injury, please contact the workers’ compensation case manager or adjuster for guidance. ODG guidelines and requirements or other evidenced based requirements as defined by each state must be followed.