Updates for Oxford policies, prior authorizations and claims Effective May 1, 2022, Optum, an affiliate company of UnitedHealthcare, will start managing prior authorization requests for certain medical benefit medications for UnitedHealthcare Oxford plan members. This is currently in place for UnitedHealthcare commercial plan members.
Change in post-acute care management Starting March 1, 2022, naviHealth will manage post-acute care for UnitedHealthcare Institutional-Equivalent Special Needs Plans (IE-SNP)/Assisted Living Health Plan members. This includes concurrent (continued stay) review and discharge planning for members transitioning to and receiving skilled care.
Updates to the 2022 Care Management and Quality Incentive Program
Effective Jan. 1, 2022, we have updated the 2022 Care Management and Quality Incentive Program. The program was designed with the goal of helping your patients who are UnitedHealthcare Community Plan members become more engaged with their preventive health care.