News
UnitedHealthcare news includes updates for care providers, practice managers, facilities and hospitals.
COVID-19 Resources
- For the latest news and guidance on the virus, visit cdc.gov/coronavirus.
- For UnitedHealthcare COVID-19 resources for providers, visit UHCprovider.com/COVID19.
- For important information from UnitedHealthcare on COVID-19, visit UHC.com.
Policy and protocol updates
This publication (previously known as Network Bulletin) features important protocol and policy updates. You’ll find 30, 60 and 90-day notices and more.
These updates are for our Medicare Advantage, Medicaid, and Individual and Group Market plans. You'll also see updates for Pharmacy, Medical Policy, Reimbursement and Prior Authorization.
Featured News
- 12.01.2021 - Hawaii: Registration requirement for Medicaid providers - The Hawaii Department of Human Services (DHS)/Med-QUEST Division (MQD) requires all care providers who serve QUEST members to register with the new MQD provider enrollment system, HOKU.
- 11.15.2021 - Second release scheduled for new claims platform - This month, UnitedHealthcare is rolling out the second release of a new claims processing platform that affects a broad group of new business products.
- 11.10.2021 - Nebraska: Coverage update for Synagis prophylaxis - UnitedHealthcare Community Plan authorized coverage of Synagis for clinically appropriate populations beginning Aug. 1, 2021. Prior authorization required for outpatient Synagis administration.
- 11.08.2021 - Genetic prior authorization/advance notification waiver expiring - The penalty waiver for genetic testing prior authorizations for commercial and E & I plans expires on Dec. 31, 2021.
- 11.08.2021 - Texas counties in scope for naviHealth post-acute care - You’ll need to use this new post-acute workflow for Texas Medicare Advantage members.
- 10.15.2021 - Select Medicare claims eligible for inpatient payment - Acute Hospital Care at Home waivers accepted beginning Nov. 1, 2021
- 10.08.2021 - Correction: October 2021 Reimbursement Policy Update Bulletin - Correction to the October 2021 Reimbursement Policy Update Bulletin for the policy for Services by Unlicensed Residents and Medical Students, Professional. The Jan. 1, 2021, effective date does NOT apply to Arizona, Kansas, Mississippi, Nebraska, New Jersey, Tennessee or Texas.
- 10.07.2021 - Bind and providers: Get to know Bind - Bind is offering a webinar to help health care professionals learn more about Bind and how to quickly and efficiently file claims and get the educational resources they need.
- 10.07.2021 - Mountain Region: Virtual Education Session - This virtual event is about new and expanded UnitedHealthcare health plans in Colorado, Utah, Idaho, Montana, and Wyoming for 2022.
- 10.07.2021 - Refer your patients to a Designated Diagnostic Provider for lab services - This benefit is intended to help connect patients to outpatient laboratory services that meet certain criteria and cost efficiency criteria.
- 10.06.2021 - Arizona: Update COVID-19 vaccination records through ASIIS - Learn more about ASIIS, where Arizona keeps Medicaid patient COVID-19 vaccination information.
- 10.06.2021 - Georgia, Virginia: Get to know Bind health insurance - Learn how your practice can prepare for Bind members and claims.
- 10.05.2021 - Improve medication adherence with PreCheck MyScript - A recent study found that many patients whose care providers used PreCheck MyScript® — a real-time benefits solution — picked up their medications faster and at a lower cost.
- 09.17.2021 - Your news and updates have a new look - The UnitedHealthcare policy and protocol updates, Network Bulletin and other important news will soon be available online in a new easy-to-use online experience.
- 09.15.2021 - Exchange plans: Referrals no longer needed for chiropractic care - See which states no longer require a referral for chiropractic care.
- 09.15.2021 - Managing information in the portal just got simpler - Easily register, add, change or deactivate users’ access to the portal.
- 09.13.2021 - Dialysis claims billing update - Need new modifiers for dialysis claims.
- 09.13.2021 - Enroll to get enhanced payments as an LTSS provider - Submit your annual ACEP enrollment today.
- 09.13.2021 - Texas: Start authorized LTSS services within 7 days - Texas requires that LTSS services start within 7 days of an approved prior authorization.
- 09.13.2021 - Important Information Tufts Freedom Plan Transition - Tufts Health Freedom Plan transition begins Oct. 1
- 09.13.2021 - New EDI edits for Medicare Advantage claims - Your clearinghouse will notify you via the 277CA report, allowing for quicker response and payment support.
- 09.10.2021 - Goodbye Link, hello portal - By end of year, Link will officially retire and all tools will transition to the new portal.
- 09.08.2021 - Colorado: New Provider for Medicare Advantage HMO - See updated about the new DME provider for Medicare Advantage HMO.
- 09.08.2021 - Get real-time patient information in your EMR - Point of Care Assist integrates patients’ UnitedHealthcare health history within your EMR to provide insights on care needs.
- 09.07.2021 - New Florida Medicare Advantage plans in 2022 - Starting Jan.1, 2022, UnitedHealthcare is launching a new AARP® Medicare Advantage (HMO) plan and expanding existing Medicare Advantage plans into more Florida counties.
- 09.07.2021 - In-home palliative care for Medicare Advantage members - Medicare Advantage palliative care vendors: Referrals and what this means for you
- 09.07.2021 - Required special needs plan Model of Care training - Information about the UnitedHealthcare Model of Care training, who needs to complete it and how you can access it before the Dec. 31 deadline
- 09.07.2021 - See for yourself how UnitedHealthcare solutions can help your practice - The UnitedHealthcare Digital Practice provides an on-demand resource that shows opportunities where we can help support your practice.
- 09.03.2021 - Temporary administrative, care measures for hurricane-impacted areas - See our latest actions to ease patient care, claims processes in hurricane-impacted areas.
- 09.03.2021 - Training available: Radiation oncology prior authorizations - New training sessions available to help you navigate the prior authorization request process for outpatient radiation oncology therapies.
- 08.31.2021 - New claims platform launched - This month, we’re piloting a new claims processing platform that affects a select group of new business products.
- 08.30.2021 - Dialysis claims billing update - Effective Oct. 1, 2021, in accordance with Centers for Medicare & Medicaid (CMS) guidelines, UnitedHealthcare® Medicare Advantage® will require dialysis providers to submit claims with the following modifiers.
- 08.24.2021 - Provider Claim Review tool has moved to the portal - We’re transitioning from RightFax to the Provider Claim Review tool in the UnitedHealthcare Provider Portal.
- 08.18.2021 - Speed up your work with TrackIt - TrackIt is a tool in the UnitedHealthcare Provider Portal that allows you to see the status of your recent submissions.
- 08.12.2021 - Take the guesswork out of reporting with UnitedHealthcare Insights - UnitedHealthcare Insights empowers your practice with the analytics and metrics to make more informed decisions.
- 08.12.2021 - Arizona Medicaid: Update to fraud and abuse requirements - The Arizona Health Care Cost Containment System (AHCCCS) has updated its fraud and abuse requirements for health care professionals and subcontractors, effective Oct. 1, 2021.
- 08.12.2021 - Arizona: Avoid denials with timely filing of claims - Timely filing of claims helps ensure claims payment to healthcare professionals who participate with UnitedHealthcare Community Plan in Arizona
- 08.12.2021 - Get real-time patient information in your EMR with Point of Care Assist® - Point of Care Assist, adds real-time patient information — including clinical, pharmacy, labs, prior authorization and cost transparency — to your existing electronic medical records (EMRs) to make it easier for you to understand what patients need at the point of care.
- 08.12.2021 - Maryland: Get payment for diabetic eye exams - HCD International (HCDI) will support you in order to deliver high-quality care to your patients, help reduce cost, contribute to better clinical outcomes and encourage patient satisfaction.
- 08.12.2021 - Arizona: Two accredited health equity education CME resources available on-demand - Two free, CME/CE-accredited health equity education activities
- 08.12.2021 - Michigan: Resources for your sickle cell care plan - Resources for your sickle cell care plan
- 08.12.2021 - Louisiana: Help Medicaid patients get cancer screenings - If UnitedHealthcare Community Plan members have missed or delayed their preventive care, we have resources to help you recommend cancer screenings.
- 08.11.2021 - All Link tools will move to the UnitedHealthcare Provider Portal - In October 2021, all self-service tools will officially retire from Link and transition to the new UnitedHealthcare Provider Portal.
- 08.10.2021 - Tennessee: TennCare Regulatory Appendix update - The requirements of this Appendix apply to the State of Tennessee Medicaid program benefit plans sponsored, issued or administered by UnitedHealthcare.
- 08.10.2021 - Get National Immunization Awareness Month resources - National Immunization Awareness Month (NIAM) highlights the importance of keeping immunizations on track for all ages.
- 07.28.2021 - Find the peer to peer request form in a new spot - Find the form and expanded instructions at a new UHCprovider.com location, under Requesting a peer to peer review.
- 07.28.2021 - Prior authorization for preimplantation genetic testing and fertility preservation - Preimplantation genetic testing and fertility preservation for the iatrogenic infertility standard benefit for eligible commercial members.
- 07.28.2021 - Virginia: New state online appeals portal for Medicaid - Online appeals available for Medicaid members in Virginia
- 07.28.2021 - Avoid claim denials for social determinants of health - Follow these tips to help ensure you’re billing us correctly
- 07.13.2021 - Refer your patients to a Designated Diagnostic Provider (DDP) for lab services - Through Designated Diagnostic Provider, we can help manage costs and drive transparency by connecting patients to lab services that meet certain quality and cost-efficiency criteria.
- 07.09.2021 - New clinical pharmacist-led medication optimization program - CMM is a pharmacist-led program that evaluates medication therapy for indication, effectiveness, safety and adherence.
- 07.09.2021 - Help members avoid unnecessary cost for outpatient lab services - Refer your patients to Designated Diagnostic Provider for outpatient lab services
- 07.09.2021 - Medicaid: Take 5 minutes to share your point of view - Coming soon: Physician Satisfaction Survey for Medicaid. We want to hear from you!
- 07.08.2021 - Let’s talk about it: Watch for your patient experience kit - Resources to maintain and improve patient experience scores
- 07.08.2021 - Now covered: Genetic testing and fertility preservation - Effective July 1, 2021, preimplantation genetic testing (PGT) and fertility preservation for iatrogenic infertility are covered as standard benefits for eligible UnitedHealthcare commercial plan members.
- 07.08.2021 - Skilled Nursing Facility payment for outpatient COVID-19 testing - UnitedHealthcare will reprocess claims previously paid at $0 to be reimbursed at 100% of the Medicare fee schedule. No action is required from affected SNFs for these adjustments.
- 07.08.2021 - Arizona: New clinical assessment requirements - Starting July 1, 2021, UnitedHealthcare Community Plan of Arizona network providers will be required to use the CALOCUS and LOCUS instruments to help identify children with complex needs.
- 07.08.2021 - New York Empire Plan Medical Program Copayment Guide - July 2021 - The Empire Plan periodically posts an update version of its member Copayment Guide to UHCprovider.com (typically an annual version in January and then interim versions during the year if there are any changes).
- 07.07.2021 - Arizona: Suspect Medicaid fraud? Learn how to report it - Our Medicaid fraud, waste and abuse program focuses on detection and investigation of fraud. Learn about reporting requirements for UnitedHealthcare Community Plan of Arizona network care providers.
- 07.07.2021 - Introducing UnitedHealthcare Insights - UnitedHealthcare Insights empowers your practice with the analytics and metrics to make more informed decisions.
- 06.30.2021 - New Jersey: New DME claim criteria - Effective Aug. 1, 2021, UnitedHealthcare Community Plan of New Jersey will deny DME claims that don't meet the DME Medicare Administrative Contractor (MAC) criteria.
- 06.30.2021 - Indiana: 90-day continuity of care policy - On April 1, 2021, we instituted a 90-day continuity of care policy for UnitedHealthcare Community Plan members in Indiana coming from another MCE or Traditional Medicaid, or newly enrolled members.
- 06.30.2021 - Refer your Exchange patients to participating labs - Help Exchange patients avoid unnecessary cost efficiency and get the best value for their health care dollars. Refer them to a UnitedHealthcare participating outpatient lab services.
- 06.30.2021 - Maryland: Asthma medication support for your practice - Maryland UnitedHealthcare Community Plan members with asthma may receive additional support for their medications
- 06.30.2021 - Indiana: Updates to molecular and genetic lab test prior authorization process for UnitedHealthcare Community and State Plans - The Prior Authorization & Notification tool in Link will be temporarily unavailable for online requests for genetic and molecular testing starting June 1, 2021 for Indiana Hoosier Care Connect members.
- 06.30.2021 - Rhode Island: Refer to the Low Back Pain Management Program - We encourage you to use non-pharmacologic and non-opioid alternatives when deciding on the best course of treatment for Medicaid patients in Rhode Island with chronic pain.
- 06.30.2021 - Tuft’s Health Freedom Plan Transition - Tuft’s Health Freedom Plan in Vermont, New Hampshire, Rhode Island, Maine, and Massachusetts transitions to UnitedHealthcare Freedom Plans. Transition Begins on Oct. 1, 2021. Article includes FAQ.
- 06.28.2021 - Catch underlying genetic conditions with testing in the NICU - Genetic testing can catch underlying genetic conditions to assist care plans.
- 06.17.2021 - More self-service tools move from Link - See which Link tools are now available in the UnitedHealthcare Provider Portal.
- 06.16.2021 - Update to Genetics Prior Authorization Program - Penalties waived for failing to comply with the prior authorization or notification requirement for genetic test in June.
- 06.16.2021 - New Jersey: Breast pump coverage - UnitedHealthcare Community Plan of New Jersey will accept prior authorization requests for certain breast pumps starting April 5, 2021.
- 06.16.2021 - Tennessee: TennCare’s updated forms for OB-GYN - TennCare is updating abortion, sterilization and hysterectomy forms and guidance effective July 1, 2021, for Tennessee Medicaid members.
- 06.16.2021 - Refer your Exchange patients to Designated Diagnostic Providers - Help Exchange patients avoid unnecessary cost efficiency and get the best value for their health care dollars. Refer them to a UnitedHealthcare Designated Diagnostic Provider for outpatient lab services.
- 06.16.2021 - Kentucky: Register to provide the COVID-19 vaccine - You can register with the Kentucky Department of Public Health to administer the COVID-19 vaccine through your practice.
- 06.16.2021 - Get paid faster for lab claims - Speed up CLIA claims processing with Smart Edits
- 06.15.2021 - Kentucky: Medicaid retroactive reimbursement update - UnitedHealthcare recently identified an under-reimbursement issue affecting home health claims for UnitedHealthcare Community Plan of Kentucky.
- 06.15.2021 - Use required 340B modifiers for accurate payment - Using a required 340B JG modifier helps ensure claim payment accuracy, saves you work.
- 06.15.2021 - NPI now required for select physician lab service referrals - Now in effect — NPIs required for claims submitted when ordering or referring select labs
- 06.14.2021 - Language services support in Maryland - UnitedHealthcare Community Plan’s diverse members receive cultural and language support.
- 06.14.2021 - New York: Newly dual-eligible members are automatically enrolled into D-SNP - You may have to submit claims differently when UnitedHealthcare Community Plan of New York members who become eligible for Medicare are automatically enrolled into a D-SNP.
- 06.14.2021 - Arizona: Free translation services for your patients - UnitedHealthcare Community Plan of Arizona offers free translation and interpretation services to help ensure members understand their diagnosis and treatment plan in a culturally sensitive manner. More than 240 non-English languages and hearing-impaired services are available.
- 06.14.2021 - Maryland: State program for patients with complex needs - Maryland offers eligible Medicaid patients an alternative case management program for specified rare and expensive conditions.
- 06.11.2021 - New name for UnitedHealthcare West Prior Authorization - July 1st name change for UnitedHealthcare West Prior Authorization to UnitedHealthcare Commercial West Prior Authorization Requirements
- 05.24.2021 - Update: No prior authorization for some radiation therapy - We’ll no longer require prior authorization for 8 procedure codes related to outpatient radiation therapies for UnitedHealthcare commercial members.
- 05.24.2021 - Massachusetts: Area of Expertise (AOE) updates required - Required Massachusetts AOE updates help expand your scope of practice and care quality
- 05.19.2021 - How does your practice measure up to its peers? - Featured data in Peer Comparison Reports let you see how you compare to other physician groups
- 05.18.2021 - Building COVID-19 vaccine confidence - Resources to support health care professionals
- 05.17.2021 - UHCprovider.com behavioral health resources - Online resources to help PCPs screen patients for behavioral health conditions.
- 05.17.2021 - API: Improve efficiency and reduce cost with real-time data exchange - Application Programming Interfaces allow for a free, secure and efficient way to seamlessly exchange data.
- 05.14.2021 - Washington: Updated clinical practice guidelines - We use evidence-based clinical guidelines from nationally recognized sources to develop our quality and health management programs for UnitedHealthcare Community Plan members.
- 05.14.2021 - New Jersey: Ambulance service claim requirements - Ambulance service claims for UnitedHealthcare Community Plan of New Jersey members must include origin and destination modifiers for reimbursement.
- 05.13.2021 - Annual Maryland CAHPS results released - What you need to know about the patient satisfaction survey
- 05.13.2021 - Maryland: Help your Medicaid patients prevent diabetes - If you have Maryland Medicaid patients with prediabetes or at risk for type 2 diabetes, the HealthChoice Diabetes Prevention Program (DPP) can help.
- 05.12.2021 - Arizona: Help for your patients with chronic pain - Refer your patients to a Center of Excellence for the treatment of complex pain conditions.
- 05.12.2021 - New bundled payment program launches in Tennessee - Pilot will explore care models for total joint replacement and bariatric surgery.
- 05.12.2021 - Update to Cancer Therapy Pathways Program May 2021 - Earn rewards with Cancer Therapy Pathways.
- 05.11.2021 - Smart Edits to include behavioral health starting June 2021 - Starting June 2021, Smart Edits will be active for behavioral health care professionals to help repair claims with potential errors.
- 05.11.2021 - Coordinating care with behavioral health care professionals - Coordinating care can help ensure care for all patients, especially for those with complex conditions.
- 05.11.2021 - New call center lines in Colorado—just for PAs - Colorado prior authorizations just got easier.
- 05.06.2021 - 2020 Quality Improvement Program overview - Annual summary of quality improvement activities for the current year for UnitedHealthcare commercial plan members and health care professionals.
- 05.06.2021- Understanding and caring for Veterans - Asking about and understanding a patient’s military history can help you connect with and care for Veterans.
- 05.04.2021 - Arizona: Update your AHCCCS registration
- 05.04.2021 - Nebraska: External cause of injury codes
- 05.04.2021 - Oxford: PCP and referral requirements
- 04.30.2021 - Tennessee: Inappropriate Primary/Principle Diagnosis Policy, Facility Update
- 04.27.2021 - Arizona: Want to share your point of view?
- 04.15.2021 - Update: Oncology specialty pharmacy requirement
- 04.14.2021 - Questions for us? Talk to a Provider Advocate
- 04.13.2021 - Texas: Wellhop for Mom & Baby
- 04.12.2021 - Take 5 minutes to update your telehealth details
- 04.08.2021 - Utah: Submitting a claim? Check the member ID card first.
- 03.31.2021 - National minority health month
- 03.30.2021 - New preventative care support for your patients
- 03.26.2021 - Optum ID name changing to One Healthcare ID
- 03.22.2021 - Adding providers to an existing contracted group
- 03.17.2021 - Updates to the VA CCN provider manual
- 03.17.2021 - Changes to VA CCN community emergency notification process
- 03.15.2021 - Improving patient experience
- 03.15.2021 - Nebraska: New call center hours
- 03.15.2021 - Avoid claim denials: Tips for Exchange plans
- 03.12.2021 - Downloadable payment information now available in Optum Pay basic
- 03.12.2021 - Ohio: Wellhop for mom and baby
- 03.10.2021 - Virginia: HEDIS® data collection underway
- 03.10.2021 - Get ready for Practice Assist
- 03.08.2021 - Help ensure timely care for your patients with a cancer diagnosis
- 03.08.2021 - Change in post-acute care management
- 03.02.2021 - Empire Plan Network News - February 2021
- 03.01.2021 - Nebraska: UnitedHealthcare Community Plan policy change
- 02.18.2021 - More self-service tools move from Link
- 02.17.2021 - Florida SBIRT tools for substance abuse issues
- 02.16.2021 - LifeBridge Nebraska Physician Coaching Program
- 02.15.2021 - Direct deposits now managed through Optum Pay for UnitedHealthcare West Plans
- 02.12.2021 - Tips to help improve the patient office visit experience
- 02.12.2021 - New Colorado health plans offered
- 02.12.2021 - Payment information available 24/7
- 02.12.2021 - Optum is assisting with VA CCN referrals
- 02.12.2021 - Access to care and appointment availability standards for Community and State Plan Missouri
- 02.12.2021 - Help managing VA CCN claims and myVACCN access
- 02.09.2021 - Maryland 2020 care provider survey
- 02.08.2021 - Tennessee: TennCare Regulatory Appendix Update
- 02.08.2021 - Tennessee - PCSP and FA available on Provider Portal
- 02.01.2021 - Utah: PRAs will no longer be mailed
- 01.20.2021 - Nebraska - Earn a $50 bonus
- 01.19.2021 - New Optum Pay™ premium features make managing payments easier
- 01.15.2021 - Kentucky Provider Orientation Webinar
- 01.15.2021 - Genetic testing for hereditary cancer unproven codes
- 01.15.2021 - Ohio Community Plan Prenatal Risk Assessment form incentives
- 01.15.2021 - Pennsylvania - new requirements for skilled shift care services
- 01.15.2021 - Find COVID-19 vaccine availability for your state or territory
- 01.14.2021 - Enroll in the CA COVID-19 vaccination program
- 01.14.2021 - Colorado: Administrative changes for Medicare
- 01.14.2021 - Prepare for patients with Bind health insurance
- 01.13.2021 - New demographic update form
- 01.13.2021 - Avoid Claim Errors for Annual Wellness Visits
- 01.13.2021 - UnitedHealthcare NexusACO is expanding
- 01.12.2021 - Stay up to date for 2021 Medicare Advantage plans in Washington
- 01.12.2021 - Stay up to date for 2021 Medicare Advantage plans in Oregon
- 01.12.2021 - Updates to the VA CCN provider manual
- 01.08.2021 - Breast pump coverage for GEHA benefit plans
- 01.04.2021 - Texas 2021 notice of Enrollment
- 01.04.2021 - Empire Plan copayment guide - January 2021
- 12.29.2020 - GEHA members access our national ancillary providers network
- 12.10.2020 - Peer Comparison Reports Now Available
- 12.10.2020 - Increased Malpractice Insurance Requirements on Hold
- 12.10.2020 - Multiple Myeloma new addition to Cancer Therapy Pathways
- 12.10.2020 - Invitation to Apply to Preferred Lab Network
- 11.17.2020 - Retiring Admission Notification Fax Number Reminder for UnitedHealthcare Community Plan
- 11.12.2020 - How to determine copays and benefits for MN
- 11.12.2020 - Accumulator Adjustment – Medical Benefit Program Delay
- 11.12.2020 - Required Updates to your Medical Staff Roster
- 11.11.2020 - Arkansas and Ohio New Observation Policy
- 11.11.2020 - New At-Home Test Kits
- 11.11.2020 - New Smart Edit: Documentation Edit Now Available
- 11.11.2020 - New SelectColorado Plan Launching in 2021
- 11.09.2020 - Telehealth Resource Page Now Available
- 11.09.2020 - Get Access to a Simplified Overpayment Process, Now Available in Link
- 11.09.2020 - Help Ensure Accurate Payment for COVID-19 Testing
- 11.05.2020 - New Cancer Therapy Pathway
- 11.05.2020 - Utah New Product Information Sessions
- 11.05.2020 - Medicare PPO Expansion Training - Montana
- 11.05.2020 - Idaho Medicare plans for 2021 Virtual Tour
- 10.28.2020 - The Empire Plan Expands Use of UnitedHealthcare Network
- 10.15.2020 - Exchange Plan Expansion
- 10.15.2020 - New Prior Authorization and Notification Enhancements
- 10.15.2020 - A Word of Thanks from Dr. Richard Migliori
- 10.15.2020 - UnitedHealthcare Community Plan Expanding Dual Special Needs Program – UnitedHealthcare Dual Complete
- 10.15.2020 - Somatus: Our New Partner in Kidney Care
- 10.15.2020 - Digital Notification of Pregnancy, Now Available in Link
- 09.17.2020 - Clarification: Prior Authorization and Site of Service Review
- 09.17.2020 - Digital Self-Service Tools Designed to Help You
- 09.16.2020 - Avoid Denial of National Drug Code (NDC) Claims
- 09.16.2020 - Questions on a Claim Denial? Coding Corner Can Help
- 09.16.2020 - New Transportation Vendor for Nebraska Community Plan
- 08.14.2020 - Medical Policy Documentation Requirement Updates
- 08.13.2020 - National Immunization Awareness Month
- 08.13.2020 - Self-paced Special Needs Plan Model of Care Training
- 08.13.2020 - What’s New With CLIA Smart Edits?
- 08.13.2020 - UnitedHealth Premium® Designations Becoming Effective
- 07.24.2020 - Don’t Get Locked Out of Link - Prepare for Security Change by Aug. 18
- 07.17.2020 - Avoid Billing Issues – Laboratory Services
- 07.17.2020 - Advancing Health Equity Education
- 07.17.2020 - Avoid Appeals for Some Radiology Claims
- 07.17.2020 - HOS Survey – Coming Soon
- 07.17.2020 - State Care Provider Manual Updates
- 07.13.2020 - Peer Comparison Reports Available
- 07.08.2020 - Provider Administered Drugs – Site of Care: Ocrevus® (Ocrelizumab)
- 06.26.2020 - Interoperability Protocol Clarification
- 06.22.2020 - Helping You Coordinate Patient Care
- 06.22.2020 - Member Rights and Responsibilities
- 06.16.2020 - Prior Authorization Online Submission Enhancements
- 06.16.2020 - Billing for Off-label or Unproven Indication
- 06.16.2020 - Exceeding Maximum Dosage Billing Issues
- 06.07.2020 - Policy, Protocol and Program Delays
- 06.07.2020 - TrackIt – Manage Your Claims Requests
- 05.07.2020 - UnitedHealth Group Provides Over $1.5 Billion of Additional Support in Response to COVID-19 Challenges
- 03.26.2020 - Network Bulletin Articles & The Empire Plan - March 2020
- 03.10.2020 - Network Bulletin Articles & The Empire Plan - February 2020
- 03.09.2020 - Care Provider Training: Cancer Therapy Pathways Program
- 03.05.2020 - New York Empire Plan Network News - February 2020
- 03.01.2020 - New Claim Test Code Submission Requirement Coming for Free Standing and Hospital Lab Care Providers
- 02.06.2020 - Important Update: Grace Period Now in Place for OptumRx Home Delivery Pharmacy Controlled Substance e-Prescription Requirement
- 01.23.2020 - Network Bulletin Articles & The Empire Plan - January 2020
- 01.22.2020 - CAHPS/HOS Best Practices
- 01.07.2020 - Empire Plan Network Copayment Guide & Flexible Formularies - January 2020
- 01.03.2020 - Legal Notice: Texas Physicians and Care Providers
- 12.11.2019 - More UnitedHealthcare Fax Numbers Being Retired on Jan. 1, 2020
- 12.04.2019 - Backup Postcard Notification for Some Paperless Letters
- 12.04.2019 - Around The Clock Home Health Care Termination – Effective Dec. 16, 2019
Medical Policy Update Bulletins - UnitedHealthcare Commercial
10/01/2021 – UnitedHealthcare Commercial Medical Policy Update Bulletin: October 2021
Last Published 10.01.2021
This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Commercial Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines (CDG), and/or Utilization Review Guidelines (URG).
11/01/2021 – UnitedHealthcare Commercial Medical Policy Update Bulletin: November 2021
Last Published 11.01.2021
This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Commercial Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines (CDG), and/or Utilization Review Guidelines (URG).
12/01/2021 – UnitedHealthcare Commercial Medical Policy Update Bulletin: December 2021
Last Published 12.01.2021
This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Commercial Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines (CDG), and/or Utilization Review Guidelines (URG).
UnitedHealthcare Commercial Medical Policy Update Bulletin Archive
Last Published 12.01.2021
This document is a listing of MPUBs published in 2021, 2020 and 2019.
Specialty Medical Injectables Update Bulletin
06/01/2020 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: June 2020
Last Published 06.01.2020
Specialty medical injectables update bulletin UnitedHealthcare Specialty Medical Injectable Drug Program Updates
07/01/2020 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: July 2020
Last Published 07.01.2020
Review the following tables to determine changes to our specialty medical injectable drug programs.
08/01/2020 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: August 2020
Last Published 08.01.2020
Monthly UnitedHealthcare specialty medical injectable drug program updates
09/01/2020 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: September 2020
Last Published 09.01.2020
Monthly UnitedHealthcare specialty medical injectable drug program updates.
10/01/2020 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: October 2020
Last Published 10.15.2020
Monthly UnitedHealthcare specialty medical injectable drug program updates
11/01/2020 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: November 2020
Last Published 11.01.2020
Review the following table to determine changes to our specialty medical injectable drug programs.
12/01/2020 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: December 2020
Last Published 01.12.2021
Monthly UnitedHealthcare specialty medical injectable drug program updates.
01/01/2021 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: January 2021
Last Published 01.01.2021
Monthly UnitedHealthcare specialty medical injectable drug program updates
02/01/2021 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: February 2021
Last Published 02.01.2021
Monthly UnitedHealthcare specialty medical injectable drug program updates
03/01/2021 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: March 2021
Last Published 03.09.2021
Monthly UnitedHealthcare specialty medical injectable drug program updates
04/01/2021 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: April 2021
Last Published 04.01.2021
Monthly UnitedHealthcare specialty medical injectable drug program updates
05/01/2021 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: May 2021
Last Published 05.06.2021
Monthly UnitedHealthcare specialty medical injectable drug program updates
06/01/2021 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: June 2021
Last Published 05.31.2021
Monthly UnitedHealthcare specialty medical injectable drug program updates
08/01/2021 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: August 2021
Last Published 08.01.2021
Monthly UnitedHealthcare specialty medical injectable drug program updates
09/01/2021 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: September 2021
Last Published 09.01.2021
Specialty Drug Program Updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Value & Balance Exchange
7/01/2021 - UnitedHealthcare Specialty Medical Injectable Drug Program Update Bulletin: July 2021
Last Published 07.27.2021
Monthly UnitedHealthcare specialty medical injectable drug program updates