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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

Over 600k members to receive new ID cards

Article highlighting number of members, plans and member ID changes tied to new claims platform migration on Feb. 1, 2023.

January monthly overview

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

Missouri Medicaid: New breast pump vendor

UnitedHealthcare Community Plan of Missouri is using a new breast pump vendor.

Texas Medicaid: Pediatric formula prior authorizations

Effective March 1, 2023, UnitedHealthcare Community Plan resumes prior authorization requirements for pediatric formula.

Outpatient Procedure Grouper mapping update

On Jan. 1, 2023, we made changes to the current plan 2022 UnitedHealthcare Outpatient Procedure Grouper mapping.

UnitedHealthcare Community Plan: New prescription safety edits

Learn what new Concurrent Drug Utilization Review (cDUR) edits are now live for UnitedHealthcare Community Plan.

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Complete listing of Network Bulletin articles