Print
Skip left navigation

Prior Authorization and Notification

Here you will find the tools and resources you need to help manage your practice’s notification and prior authorization needs. Your primary UnitedHealthcare prior authorization resource, the Prior Authorization and Notification tool, is available on Link, the gateway to UnitedHealthcare’s self-service tools.

Need to submit or check the status of a prior authorization request? Learn more at UHCprovider.com/priorauth

Current Prior Authorization Plan Requirements

UnitedHealthcare Community Plan - Complete Care

UnitedHealthcare Community Plan - Children's Rehabilitative Services

UnitedHealthcare Community Plan - Developmentally Disabled

UnitedHealthcare Community Plan - Long Term Care

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan (Dual Special Needs Plan) Prior Authorization Requirements

The cardiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed with the help of physician advisory groups to encourage appropriate and rational use of cardiology services. Using them helps reduce risks to patients and improves the quality, safety and appropriate use of cardiac procedures.

The select services below explain the policy and requirements of the Prior Authorization Critera from the Division of Developmental Disabilites.

Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.

The oncology prior authorization and notification programs aim to increase quality and patient safety by increasing compliance with evidence-based standards of care. View the following links for more information and resources on the specific programs.

Previous Prior Authorization Plan Requirements

UnitedHealthcare Community Plan - Acute Medicaid

UnitedHealthcare Community Plan - Children's Rehabilitative Services

UnitedHealthcare Community Plan - Developmentally Disabled

UnitedHealthcare Community Plan - Long Term Care

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan

The radiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for diagnostic imaging procedures. They help reduce risks to patients and improve the quality, safety and appropriate use of imaging procedures.