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Colorado, Kentucky and Tennessee: New home health review process

Starting July 1, 2022, for UnitedHealthcare® Medicare Advantage and Dual Special Needs Plans (D-SNP), you’ll need to request prior authorization for all visits after the start of care (SOC) visit.

Home health review process changes

Starting June 1, 2022, for UnitedHealthcare Medicare Advantage and Dual Special Needs Plans, we will require initial authorization and will perform continuation of care reviews for Home Health Agencies (HHAs). This change is taking place for members enrolled in Medicare Advantage plans, including Dual Special Needs plan members, who reside and receive services in Arkansas, South Carolina, and Texas.

Alabama: Home health review process changes

Starting July 1, 2022, for UnitedHealthcare® Medicare Advantage and Dual Special Needs Plans (D-SNP) in Alabama, there will be a change in the process for requesting prior authorization for all visits after the start of care visit (SOC).

Washington Medicaid: Clinical practice guideline updates

Review changes in clinical practice guidelines from year 2021 to 2022.

New York Medicaid: Changes to practitioner dispensing billing process

Effective Sept. 1, 2022, Medicaid Managed Care plans will deny payment to pharmacies not enrolled as a pharmacy provider for FFS Medicaid.

Maryland Medicaid: Monkeypox vaccine pre-registration now available

The Maryland Department of Health Monkeypox Vaccination Pre-Registration System is now available.