Review these alerts and bulletins to stay up to date on news, policy changes and other issues important to your practice.
For important announcements from the Texas Health and Human Services Commission, visit the Messages from Texas HHSC page.
- 09.18.2020 - Home Delivered Meals - Changes Effective Oct. 1, 2020
- 09.15.2020 - Procedure Code S8301 Texas Medicaid PPE Reimbursement
- 08.31.2020 - New Pharmacy Prior Authorization Requests - Beginning Oct. 1, 2020
- 07.31.2020 - New Pharmacy Prior Authorization Requirements - Beginning Sept. 1, 2020
- 07.20.2020 - Updates to Cost-Share Payment Processing - Beginning Nov. 1, 2020
- 06.30.2020 - New Pharmacy Prior Authorization Requirements - Beginning August 1, 2020
- 06.17.2020 - We Welcome Your Feedback: Lookout for the Provider Satisfaction Survey!
- 06.10.2020 - Medical Vision Provider Changes
- 05.27.2020 - Diagnostic Doppler Studies Updates
- 05.27.2020 - Changes to UHC's Open Enrollment for Attendant Compensation Rate Enhancement
- 04.27.2020 - Payment Corrections for Non-Participating Care Providers
- 04.07.2020 - Improper Payment of Acute Care Claims for STAR+PLUS Members Who Also Have Medicare
- 04.01.2020 - Site of Service FAQs
- 03.26.2020 - New Pharmacy Prior Authorization Requirements - Beginning May 1, 2020
- 02.26.2020 - CHIP Member Co-Pays
- 02.21.2020 - Member Copays for Assisted Living
- 02.18.2020 - Taxonomy: Attending Physician Required
- 02.12.2020 - Pharmacy Prior Authorization for Rinvoq Delayed: Now Starting March 15, 2020
- 02.12.2020 - DUR Educational Newsletter: Respiratory Therapy
- 01.28.2020 - New Pharmacy Prior Authorization Requirements - Beginning March 1, 2020
- 01.06.2020 - Home Health Correct Outpatient Billing
- 01.03.2020 - Issues with Claims Showing Up in claimsLink
- 12.23.2019 - New Pharmacy Prior Authorization Requirements - Beginning Feb. 1, 2020
- 12.16.2019 - Claims Submission Update for Ambulance Providers
- 11.13.2019 - Coordination of Benefits and Prior Authorizations
- 11.13.2019 - Home and Community-Based Services: Making the Most for Members
- 11.12.2019 - Specialty Therapies: PTOTST New Prior Authorization FAQs
- 11.05.2019 - New Pharmacy Prior Authorization Requirements - Beginning Dec. 15, 2019
- 10.28.2019 - New Pharmacy Prior Authorization Requirements - Beginning Dec. 1, 2019
- 10.15.2019 - UPDATED! Oct. 25, 2019 - Outpatient Special Therapy Provider Training
- 10.04.2019 - Delays Due to Tropical Storm Imelda
- 09.30.2019 - Prior Authorization Policy Change for Speech, Occupational, and Physical Therapy Services Begin Nov. 1, 2019
- 09.30.2019 - Change for Requesting Some PTOTST Services Begin Nov. 1, 2019
- 09.25.2019 - Enroll All Service Locations for Texas Medicaid Transportation
- 09.18.2019 - Update to STAR+PLUS Long-Term Services and supports Billing Matrix
- 08.26.2019 - Provider Statement of Need Requirement Delayed
- 08.22.2019 - New Prior Authorization Requirements for Certain Prescriptions - Effective Oct. 1, 2019
- 08.16.2019 - DUR Educational Newsletter: Opioid and Buprenorphine Use for Treating Opioid Use Disorder
- 08.02.2019 - New Prior Authorization Requirements for Certain Prescriptions - Effective Sept. 1, 2019
- 07.17.2019 - Wait List Reporting for Physical, Occupational, and Speech Therapy Providers
- 07.09.2019 - Electronic Visit Verification Transaction Review Update - Effective July 15, 2019
- 06.20.2019 - Outpatient Care Service Claims Processing for STAR+PLUS Members with Medicare Benefits
- 06.20.2019 - Exceptions for Outpatient Care Service Claims for STAR+PLUS Members with Medicare Benefits
- 06.05.2019 - Therapy Authorization Clarification: Requesting Overlapping Periods
- 05.24.2019 - Use claimsLink to Manage Claims
- 05.17.2019 - Meet Us at a Provider Information Expo in Texas
- 05.15.2019 - Billing NPI with Services Delivered in the Community
- 05.07.2019 - Incorrect Payment of Voided Claims
- 05.02.2019 - Update to Inpatient Acute Care Claims Processing for STAR+PLUS Members Who Also Have Medicare Benefits
- 04.15.2019 - Claims Reconsiderations and Appeals
- 04.12.2019 - Provider Alert: Update to UnitedHealthcare Dual Complete Claims Processing
- 03.19.2019 - Services Ordered By A Court of Law
- 03.19.2019 - Writing Functional Therapy Goals Q&A Now
- 03.08.2019 - Billing Provider Taxonomy Now Required on All Claims
- 03.08.2019 - NPI Not Required on Claims for PTOTST Services
- 03.08.2019 - Federally Qualified Health Centers Encounter Rate Just Got Easier
- 02.11.2019 - claimsLink Enhancements – New Search Options and Claims Information
- 12.31.2018 - Care Provider Directory Update: Area of Expertise
- 12.10.2018 - Wait List Reporting for Physical, Occupational and Speech Therapy Providers
- 11.21.2018 - Professional Claims Billing Providers to Use Qualifiers with Taxonomy
- 11.16.2018 - Provider Alert: NPI Number Required for Physical, Occupational and Speech Therapy (PTOTST) Provider Claims Starting February 1, 2019
- 11.08.2018 - Provider Alert: Updated Abuse, Neglect and Exploitation Reporting Process for STAR Kids Care Providers
- 11.05.2018 - Prior Authorization for Post-Acute Inpatient Care Required for Medicare Advantage Benefit Plans - Effective January 1, 2019
- 11.05.2018 - UnitedHealthcare Community Plan Outpatient Injectable Cancer Therapy Authorization Process Changes - Effective February 1, 2019
- 11.01.2018 - Update to Multiple Procedure Payment Reduction Policy
- 11.01.2018 - New Vitamin D Policy for Texas - Effective January 18, 2019
- 09.26.2018 - Wellness Quality Measures Observation and Documentation
- 09.24.2018 - New Prior Authorization Requirements for Parsabiv
You can find more information on Electronic Visit Verification including alerts, resources, training, and policies by visiting the EVV webpage or by navigating to "Electronic Visit Verification (EVV)" on the left sidebar.
EVV training can also be found on the Training and Education page.
- 09.18.2020 - Claims Clarification: Clean Claims
- 08.27.2020 - Claims Clarification: Acute Care Services for Members in Hospice
- 08.03.2020 - Claims Clarification: OB Ultrasounds
- 09.10.2019 - Claims Clarification: Microbiology Billing
- 07.26.2019 - Authorization Clarification: Therapy for Medicare-Medicaid Plan
- 07.12.2019 - (For 016151) Claims Clarification: Behavioral Health Case Management
- 07.12.2019 - (For 016184) Claims Clarification: Early Childhood Intervention, Case Management and Specialized Skills Training
- 07.02.2019 - Claims Clarification: Therapy Authorizations
- 06.13.2019 - Claims Clarification: Dental Procedures Completed in a Medical Facility
- 05.30.2019 - Claims Clarification: Clinician Administered Drug Billing and Diagnosis Codes
- 05.29.2019 - Claims Clarification: 12 Hour Daily Limit
- 05.29.2019 - Claims Clarification: Behavioral Health Evaluations and Therapies
- 05.29.2019 - Claims Clarification: Psychological, Neurobehavioral and Neuropsychological Testing
- 05.06.2019 - Claims Clarification: Therapy Evaluation and Reevaluation
- 03.21.2019 - Claims Clarification: Billing for Certain Vitamins and Minerals for Members Ages 20 and Younger
- 03.07.2019 - Ambulatory EEG Claims Require Certain Diagnosis Codes
- 03.07.2019 - Ambulance Emergency Codes Need ET Modifier
- 03.07.2019 - Private Duty Nurses Use UA modifier for Specialized Services for STAR KIDS, STAR and CHIP Members
- 02.05.2019 - Claims Clarification: All Ambulance Transportation Claims for STAR+PLUS Members who also have Medicare Benefits
- 01.25.2019 - Claims Clarification: Private Duty Nursing Diagnosis Codes for Special Services
- 01.08.2019 - Claims Clarification: Prosthetic and Orthotic Billing Codes for STAR+PLUS Members
- 12.18.2018 - Claims Considerations: Prescribed Pediatric Extended Care Centers Daily Billing
- 12.07.2018 - Claims Clarification. CHIP Wellness
- 12.04.2018 - Claims Clarification. THSteps Medical Checkups
- 12.03.2018 - Claims Clarification: Adult Preventive Checkups
- 12.03.2018 - Claims Clarification: Corrected Claims
- 10.12.2018 - Claims Clarification: Ambulance Wait Times
- 10.12.2018 - Claims Clarification: Outpatient Facility Observation Claims
- 09.28.2018 - Claims Clarification: Occupational Therapy/Physical Therapy/Speech Therapy Rehabilitation Claims
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.