Effective July 1, 2021, for UnitedHealthcare Medicare Advantage and Dual Special Needs Plans, we will require prior authorization for home health services.
What you need to know
UnitedHealthcare will be delegating prior authorization for home health services to naviHealth for members who reside and receive services in Georgia and to myNEXUS for members who reside and receive services in Alabama. Both will utilize portal technology. To facilitate home health authorizations, the criteria in United’Healthcare's Medicare Advantage Prior Authorization Requirements will be used.
How to request prior authorization and notification
To learn more about prior authorization processes in your state, please follow the links below: