Bulletins and Newsletters

Review these bulletins to stay up to date on news, policy changes and other issues important to your practice.

For Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, Utilization Review Guidelines and corresponding update bulletins for UnitedHealthcare Community Plan, visit the Policies and Protocols section.

Case Managers Help Members With Complex Needs

The UnitedHealthcare Community Plan Case Management program is a holistic approach to care for members with complex needs, especially those with chronic conditions. The goal is to provide our community members with the resources necessary to maintain the highest functional status possible.

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UnitedHealthcare Dual Complete®: New Jersey Members Matched With a Navigator

The UnitedHealthcare Dual Complete® plan will now pair our members with a Navigator. This is a go-to-person that provides support and helps them every step of the way on their health journey in New Jersey.

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Perinatal Risk Assessment Form Requirements

Effective June 1, 2020, New Jersey began enforcing new data reporting requirements as condition of Medicaid payment for prenatal care

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Providers Must Obtain Hospital Privileges 

Participating UnitedHealthcare Community Plan of New Jersey providers must obtain hospital privileges at a participating New Jersey hospital

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New Disease Management Program in New Jersey for End-Stage Renal Disease 

UnitedHealthcare Dual Complete® One offers new disease management program in New Jersey for end-stage renal disease.

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Referral Reminder: Out-of-Network Labs

Refer all members to in-network labs to help avoid any possible claim denials.

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Measures for Respiratory Conditions

UnitedHealthcare would like to emphasize to care providers the appropriate use of antibiotics in children and adults with upper respiratory tract infections.

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Managing Medication for People With Asthma 

Help achieve better health care outcomes for Children and adults with asthma.

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A Member’s Right to Culturally Competent Care

UnitedHealthcare Community Plan’s members have a right to receive care that is culturally appropriate and respects their cultural and ethnic background and origins.

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Office-Based Addictions Treatment

Office-based addictions treatment (OBAT) is the use of medications in combination with navigator services to coordinate counseling and behavioral therapies to treat both substance use disorder (SUD) and opioid use disorder (OUD).

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Access and Availability Standards

UnitedHealthcare Community Plan has appointment availability requirements for primary care providers (PCPs) and specialists.

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Understanding Early and Periodic Screening, Diagnostic and Treatment Requirements

Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services are an important part of preventive care for children.

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Updated (PCM) Medical Care Coordination: Private Duty Nursing Policy

To view the updated policy, visit UHCprovider.com.

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Early Elective Delivery Reimbursement Changes  

Early Elective Delivery Reimbursement Changes are Effective July 1, 2020. 

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Current Alerts & Bulletins