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.
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.
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.
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.
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.
Pneumococcal Screening Reminder
Invasive pneumococcal disease, caused by streptococcus pneumoniae (pneumococcus), remains a leading cause of serious illness in children and adults worldwide.
UnitedHealthcare Dual Complete – Medicare Advantage Special Needs Plan (DSNP) and UnitedHealthcare Community Plan – TennCare
The UnitedHealthcare Dual Complete® plan will now pair our members with a Navigator.