Community Plan Medical and Drug Policies

The Medical Policies, Medical Benefit Drug Policies, and corresponding update bulletins for UnitedHealthcare Community Plan are listed below.

Open the section below to view more information.

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A monthly notice of recently approved and/or revised Medical Policies and Medical Benefit Drug Policies is provided below for your review. We publish a new announcement on the first calendar day of every month.

The appearance of a health service (e.g., test, drug, device, or procedure) in the Medical Policy Update Bulletin does not imply that UnitedHealthcare provides coverage for the health service. In the event of an inconsistency or conflict between the information provided in the Medical Policy Update Bulletin and the posted policy, the provisions of the posted policy will prevail.

Current Policies

This Community Plan medical policy library does not apply to the following states; click the link to view the applicable Medical & Drug Policies:

  • For Indiana, click here.
  • For Kentucky, click here.
  • For Louisiana, click here.
  • For Mississippi, click here.
  • For North Carolina, click here.
  • For Ohio, click here.
  • For Pennsylvania, click here.
  • For Tennessee, click here.

For Louisiana, click here to view MCG criteria for the top Outpatient procedures and Admission diagnoses.