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.
Visit the Payment Policy Notifications page to view updates.
Current News, Bulletins and Alerts
- 08.26.2019 - Delayed Deployment - Pennsylvania C&S Prior Authorization for Genetic Testing
- 08.16.2019 - DUR Educational Newsletter: Opioid and Buprenorphine Use for Treating Opioid Use Disorder
- 07.02.2019 - Prior Authorization and Requests for Additional Information
- 06.06.2019 - Guide to UnitedHealthcare Community Plan of Pennsylvania Clinical Programs
- 06.04.2019 - Prior Authorization Guidelines for Members Younger Than 21
- 06.03.2019 - How to Check Your Pennsylvania Medicaid Enrollment Status
- 05.02.2019 - Update to Procedure to Modifier Policy for “Always Therapy” Codes – Effective July 1, 2019
- 11.01.2018 - Update to Multiple Procedure Payment Reduction Policy
- 11.01.2018 - Coding for Social Determinants of Health
- 10.08.2018 - Validated Screening Tools for Developmental Delays and Autism Spectrum Disorders
- 10.05.2018 - Requirements and Resources for Structured Screening for Developmental Delays and Autism Spectrum Disorder for Medical Assistance Recipients
- 09.04.2018 - Environmental Lead Investigations
- 08.28.2018 - Updates to Pennsylvania’s Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule
- 03.08.2018 - Guide to UnitedHealthcare Community Plan of Pennsylvania Clinical Programs
- 01.08.2018 - Updates to the 2017 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule
- 12.20.2017 - Care Provider Fraud, Waste and Abuse Education and Corrective Action Plan Information
- 12.20.2017 - Changes to Long-Acting Opioid & Short-Acting Opioid Policies for UnitedHealthcare Community Plan Members - Effective December 27, 2017
- 11.21.2017 - Electronic Provider Enrollment Application for CHIP Providers - Effective Nov. 17, 2017
- 11.15.2017 - Update to Reimbursement Policy for Urgent Care Centers Billing HCPCS Codes S9083 and S9088 – Effective Feb. 1, 2018
- 10.27.2017 - Provider Training: Electronic Provider Enrollment Application User Interface Training for Children’s Health Insurance Program (CHIP) Providers
- 10.18.2017 - Revisions to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule
- 09.27.2017 - CHIP Provider Enrollment Information
- 08.04.2017 - School Vaccination Requirements for Attendance in Pennsylvania Schools