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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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North Carolina Medicaid: Pending claims prior to PML determination

North Carolina DHHS requires PHPs to pend SNF claims submitted prior to patient monthly liability determination.

December monthly overview

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

Medical Policy Updates: December 2023

Medical policy updates for December 2023 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.

Reimbursement Policy Update Bulletins: December 2023

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

Specialty Medical Injectable Drug Program updates: December 2023

Specialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Exchange plans for December 2023.

Pharmacy and clinical updates: December 2023

Review the latest drug list and pharmacy updates from UnitedHealthcare.

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