We’re retiring the current versions of the Observation Utilization Review Guide on Nov. 30, 2022. The new Hospital Services: Observation and Inpatient Policy goes into effect Dec. 1, 2022.
For UnitedHealthcare Community Plans, the Observation Utilization Review Guide remains in effect until the individual states review and approve the new hospital services policy. You may access the new policy for each health plan below.
Please send all relevant clinical information when submitting a request for inpatient services to assist in our decision-making process.
Relevant clinical information includes, but is not limited to:
Learn more by reviewing the Observation and Inpatient Policy self-paced course.
Contact your provider advocate.