Important news updates for health care professionals
See policy and protocol updates (formerly Network Bulletin) for Medicare, Medicaid, commercial and individual Exchange plans
Review the monthly update bulletins for Medicare, Medicaid, commercial and individual Exchange plans
Check the monthly updates bulletins for the latest changes for Medicaid, Medicare, commercial and individual Exchange plans
View prior authorization updates and use the filters to focus on the plans, states, and some specialties that interest you
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Starting Sept. 9, 2022, Arizona, Missouri and Washington, D.C., C&S prior authorization and clinical decision letters are going paperless. View through the portal, API or TrackIt.
Care coordination can help improve health outcomes. UnitedHealthcare offers several care coordination programs, including controlled substance monitoring, maternity case management and assistance with transitions of care.
Smart Edit will be available for commercial plans to help with coordination of benefits when you submit a claim.
Notification to providers who may have members who have been diagnosed with diabetes and have received communications encouraging them to order an at home eGFR and uACR testing kit or an A1C testing kit.
Starting Oct.. 1, 2022, we’re adding additional codes to the prior authorization list for UnitedHealthcare commercial plans.