Starting May 1, 2023, we'll require prior authorization for home health services for UnitedHealthcare Dual Special Needs Plan (D-SNP) members receiving home health services in the following states:
For all visits after the start of care (SOC) visit, you’ll need to request prior authorization through naviHealth.
Note: We already require prior authorization from naviHealth for UnitedHealthcare® Medicare Advantage plan members who receive home health services in the states mentioned above.
Plans and groups not affected by this requirement include:
If you have questions about the prior authorization submission process, email firstname.lastname@example.org.