July 15, 2022

Texas Medicaid correction: Shoulder surgery prior authorization

In the June 1, 2022, Network News article, “Medicaid: Prior authorization required for all shoulder surgery service codes beginning Aug. 1, 2022,” we communicated that all shoulder surgery codes will require prior authorization in many of our UnitedHealthcare Community Plans.

Please note, this change does not apply to the UnitedHealthcare Community Plan of Texas, which only requires prior authorization for the following codes: 23470, 23472, 23473 and 23474.  

Please contact your physician advocate or call UnitedHealthcare Provider Services at 888-887-9003, 8 a.m.–6 p.m. CT, Monday–Friday.