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Latest news

Policy and protocol

See policy and protocol updates (formerly Network Bulletin) for Medicare, Medicaid, commercial and individual Exchange plans

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Reimbursement policy

Review the monthly update bulletins for Medicare, Medicaid, commercial and individual Exchange plans

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Medical policy

Check the monthly updates bulletins for the latest changes for Medicaid, Medicare, commercial and individual Exchange plans

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Prior authorization

View prior authorization updates and use the filters to focus on the plans, states, and some specialties that interest you

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Recent news

AZ, MO, D.C.: Get ready for paperless Medicaid prior authorization and clinical decision letters

Starting Sept. 9, 2022, Arizona, Missouri and Washington, D.C., C&S prior authorization and clinical decision letters are going paperless. View through the portal, API or TrackIt.

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Helping you coordinate patient care

Care coordination can help improve health outcomes. UnitedHealthcare offers several care coordination programs, including controlled substance monitoring, maternity case management and assistance with transitions of care.

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New Smart Edit for commercial plans

Smart Edit will be available for commercial plans to help with coordination of benefits when you submit a claim.

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At-home A1C and kidney disease screening outreaches underway

Notification to providers who may have members who have been diagnosed with diabetes and have received communications encouraging them to order an at home eGFR and uACR testing kit or an A1C testing kit.

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New codes added to prior authorization list for commercial plans

Starting Oct.. 1, 2022, we’re adding additional codes to the prior authorization list for UnitedHealthcare commercial plans.

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