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Monthly overview

View recent updates on policy and protocol announcements, drug and pharmacy, prior authorization, code changes, provider reimbursement, medical policy alerts and more.

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What's new in Network News

Updated requirements for gastroenterology services

On June 1, 2023, UnitedHealthcare will require advance notification for non-screening gastroenterology procedures.

Virginia: Transition to Cardinal Care Medicaid program

UnitedHealthcare Community Plan of Virginia will complete its transition to Virginia’s rebranded Medicaid program, called Cardinal Care, later in 2023.

June monthly overview

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

Medical Policy Updates: June 2023

Medical policy updates for June 2023 for the following plans: Medicare, Medicaid, Exchanges, and Commercial.

New clinical pharmacist-led medication optimization program

This pharmacist-led program evaluates medication therapy for indication, effectiveness, safety and the patient’s ability to take their medications as prescribed. We use data obtained through pharmacy claims, medical claims and self-reporting.

Reimbursement Policy Update Bulletins: June 2023

You can review the details on June's reimbursement policy updates through the commercial, Medicare, Medicaid and Exchange plan bulletins.

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