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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

PA Medicaid: Updated reproductive health services guidance

The state may be required to cover medically necessary abortion services and those that don’t qualify for federal funding.

New York Medicaid: New vaccine code added to non-covered list

On Feb. 1, 2027, New York State Medicaid policy will remove coverage for meningococcal pentavalent vaccines.

UnitedHealthcare D-SNPs are closing in Ohio

UHC D-SNP patients may transition to a C-SNP. Provider attestation is required for eligibility.

Michigan: Support timely care for HIDE-SNP members

Use the primary care appointment availability standards to help HIDE-SNP members.

Help fix claim and portal issues: Take our quick survey

Share feedback on claims, denials and tools. Just a few minutes can drive 2027 improvements.

October monthly overview

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

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