Referrals, Mid-Atlantic Supplement - 2022 UnitedHealthcare Administrative Guide

For referral process information, check the Mid- Atlantic Health Plan Referral Protocol located on uhcprovider.com/plans >  Choose Your State > Commercial Plans > Mid-Atlantic Health Plan > Referral Protocol for M.D.IPA, M.D.IPA Preferred, Optimum Choice, and Optimum Choice Preferred for:

  • Referral submission requirements.
  • Maximum number of referral visits.
  • Exceptions for specific specialists or treatments.

Referrals are not required when M.D.IPA or Optimum Choice is the secondary carrier.

Find forms and specific referral processes for some treatments on uhcprovider.com/plans >  Choose Your State > Commercial Plans > Mid-Atlantic Health Plan. The referral form is hyperlinked within the protocol titled “Referral Protocol for M.D.IPA, M.D.IPA Preferred, Optimum Choice and Optimum Choice Preferred.”