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Policies and Protocols for Healthcare Providers

This library includes UnitedHealthcare policies and protocols. The policies and protocols presented here may not apply to all UnitedHealthcare plans.



Policy and Protocol news

How to identify Optum Care delegated claims online

Get alerts for delegated claims managed by Optum Care. View claim information by selecting the Optum Care payer ID.

MTM Health managing non-emergency transportation

Starting March 1, 2026, MTM Health will arrange non-emergency medical transportation.

September monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates for September 2026.

Reimbursement Policy Update Bulletins: September 2026

You can review the details on reimbursement policy updates for September 2026 through the Commercial, Medicare Advantage, Medicaid and Exchange plan bulletins.

Pharmacy and clinical updates: September 2026

Explore UnitedHealthcare's September 2026 drug list and pharmacy updates to stay informed on coverage and medication changes.

Medical Policy Updates: September 2026

Medical policy updates for September 2026 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.

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