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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

Dec. 1: Electronic appeal and dispute submissions required for Arizona Medicaid

Health care professionals must submit Medicaid pre- and post-service appeals and disputes electronically in Arizona.

Medicare: Part B step therapy prior authorization requirements

For dates of service starting Jan. 1, 2025, prior authorization is required for Part B Step Therapy Program medications.

October monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates for October 2024.

New 2025 Individual Exchange plans and prior authorization information

On Jan. 1, 2025, we'll launch Individual Exchange plans in 4 new states. Learn more.

New radiation therapy requirements for Rocky Mountain Health Plans

On Jan. 1, some UnitedHealthcare requirements and criteria will apply to Rocky Mountain Health Plans.

Specialty Medical Injectable Drug Program updates: October 2024

Specialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Exchange plans for October 2024.