As an MA organization, UnitedHealthcare and its network providers agree to meet all laws and regulations applicable to recipients of federal funds.
If you participate in the network for our MA products, you must comply with the following additional requirements for services you provide to our MA members.
Member communications require CMS approval. This includes:
Approval is not necessary for communications between health care providers and patients that discuss:
Once CMS approves, we send the letter to the member.
In addition to making sure the letter is approved by the governing regulatory body, we direct the letter to the correct audience. For example, we may need to distinguish a mailing to MA plan individual members versus Medicare group retiree members, as their benefits are distinctly different.
MA organizations are subject to additional reporting requirements. We may request data from you. This data is due by 11:59 p.m. PT on our established reporting deadline.
Some measures are reported annually, while others are reported quarterly or semi-annually. This includes, but is not limited to: