Payment Policy Notifications

2021 Payment Policy Notifications are now located within the Network Bulletin

Previous Payment Policy Notifications

• OPS MMA-LTC 006 Claim Payment for Florida
• Treatment In Place - Billing Guidelines for Louisiana
• New Emergency Department (ED) Professional Evaluation and Management (E/M) Coding Policy – implementation delay for FL, CA, HI, RI, TX, OH, AZ, MO, MD
• Sexually Transmitted Infection Testing Policy for UnitedHealthcare Community Plan of Mississippi, Professional and Facility Effective January 1, 2021
• New Vitamin D Reimbursement Policy for UnitedHealthcare Community Plan of Louisiana - Effective Dec. 1, 2020
• New Inappropriate Primary Diagnosis Facility Policy for UnitedHealthcare Community Plan of AZ, FL, MD, MI, MS. OH, PA, VA, WI - Effective Nov. 1, 2020
• New Inappropriate Primary Diagnosis Facility Policy for UnitedHealthcare Community Plan of Texas and New York - Effective Jan. 1, 2021
• New Inappropriate Primary Diagnosis Facility Policy for UnitedHealthcare Community Plan of California - Effective Nov. 15, 2020
• New Inappropriate Primary Diagnosis Facility Policy for UnitedHealthcare Community Plan of Missouri - Effective Dec. 1, 2020
• Sexually Transmitted Infection Testing Policy, Professional and Facility - UnitedHealthcare Community Plan of Tennessee - Effective 10/1/2020
• Outpatient Physical & Occupational Services Covered & Non-Covered CPT Codes - Network Bulletin Appendix - UnitedHealthcare Community Plan of NY - Effective Sept. 1, 2020
• Updated: Ambulance Policy Professional - UnitedHealthcare Community Plan of Texas - Effective Nov. 1, 2020
• Updated: Ambulance Policy Professional - UnitedHealthcare Community Plan of Virginia - Effective Sept. 1, 2020
• Updated: Ambulance Policy Professional - UnitedHealthcare Community Plan of California - Effective Oct. 1, 2020
• New Sexually Transmitted Infection Policy, Professional and Facility - Effective Sept. 15, 2020
• Sexually Transmitted Infection Testing Policy for FL, MD, PA, VA, WI - Effective Aug. 1, 2020
• Sexually Transmitted Infection Testing Policy for MI, VA - Effective Sept. 1, 2020
• Sexually Transmitted Infection Testing Policy for FL, MD, PA, VA, WI - Effective Oct. 1, 2020
• New Emergency Department (ED) Evaluation and Management (E/M) Coding Policy for FL, TX, OH, AZ, MO - Effective October 1, 2020