This pharmacy bulletin outlines new or revised clinical programs and implementation dates. It’s available online for UnitedHealthcare commercial and UnitedHealthcare Oxford commercial plans.
Prior authorization code updates for commercial plans
Effective Nov. 1, 2021, we are adding new codes to the prior authorization list for UnitedHealthcare commercial plans including All Savers, River Valley, Neighborhood Health Partnership, UnitedHealthcare West, MidAtlantic Health Plans.
More state and regional policy and protocol updates
West Region: Medical PRAs will not be mailed after October AK, AZ, CA, CO, HI, ID, MT, NM, NV, OR, WA, WY Effective Nov. 5, 2021,we will no longer print and mail paper provider remittance advice (PRAs) for medical claims to in-network health care professionals and facilities in the certain states.