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.

Adult Checkup Reminder

Many adults choose to go to the doctor only when they are ill, but we encourage all providers to use those appointments as opportunities to offer unrelated preventive services to our members.

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EPSDT Campaign 2020 Thank you

At UnitedHealthcare Community Plan (UHCCP), we would like to sincerely thank all of the provider offices who’ve recently joined and assisted us in bringing our non-compliant members up-to-date with their EPSDT screenings.

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EPSDT Coding Guide

An EPSDT screening is complete when the seven components have been finished.

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Flu Season Reminder

As you well know, the most effective strategy for preventing influenza is an annual vaccination.

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Fraud, Waste, and Abuse Update – Foot Baths and Prescription Anti-Infective Agents

The Centers for Medicare & Medicaid Services (CMS) has identified likely medically unnecessary use of drugs, such as antibiotics and antifungals1, that are being prescribed for topical use to be administered as a foot bath.

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Healthcare Professional Community Engagement Partnership

More than 20% of the children in Tennessee on Medicaid failed to receive their annual Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) screenings last year.

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Importance of EPSDT Screenings

The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit of Medicaid was designed to provide comprehensive and preventive health care services for children from birth through age 20.

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Pneumococcal Screening Reminder

Invasive pneumococcal disease, caused by streptococcus pneumoniae (pneumococcus), remains a leading cause of serious illness in children and adults worldwide.

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UnitedHealthcare Dual Complete: Tennessee Members Matched With a Navigator

The UnitedHealthcare Dual Complete® plan will now pair our members with a Navigator.

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TennCare Is Waiving Risk-Sharing Payments for 2019 Episodes of Care in Response to COVID-19

Providers should contact their UnitedHealthcare provider relations advocate with any questions about their 2019 performance reports.

Electronic Visit Verification (EVV) Overlapping Visits

UnitedHealthcare Community Plan’s (UHC) goal is to ensure that the individuals we serve are receiving services timely, based on their Person-Centered Support Plan (PCSP).

Our Tennessee Quality Management program

United Healthcare Community Plan wants you to get the best care and service. That’s why we have a Quality Management (QM) program. Our QM program helps us learn what we can do better. Then we use it to improve. Our QM program has several member health programs.

Antipsychotic Pharmacotherapy: TennCare Preferred Drug List & Appropriate Diagnosis for Prior Authorization Bypass

TennCare pharmacy benefits are managed by TennCare and administered by OptumRx, the TennCare pharmacy benefit manager (PBM). TennCare, in conjunction with OptumRx, manages the medication formulary, also known as the Preferred Drug List (PDL). 

CoverKids Implementation – 1/1/2021

Practice Matters 2021 1st quarter

Covid-19 Updates

Practice Matters 2021 1st quarter

EPSDT Coding Guide 2021

Practice Matters 2021 1st quarter

Person-Centered Support Plans and Functional Assessments available on Provider Portal

Practice Matters 2021 1st quarter

Regulatory Appendix Update

Practice Matters 2021 1st quarter

Summary of 2020 EPSDT Medical Record Review

Practice Matters 2021 1st quarter

UnitedHealthcare Provider Portal

Practice Matters 2021 1st quarter

Current News, Bulletins and Alerts