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 UHCprovider.com 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.