January monthly overview
Network News is published twice a month. See updates below.
January 1 publication
Policy and protocol updates
Medical policy updates
Medical policy updates for January 2024 for the following plans: Medicare, Medicaid, Exchanges and commercial.
Reimbursement policy updates
See the latest updates for reimbursement policies.
Specialty Medical Injectable Drug program updates
See the latest updates to requirements for Specialty Medical Injectable Drugs for UnitedHealthcare members.
Pharmacy and clinical updates
Access upcoming new or revised clinical programs and implementation dates for UnitedHealthcare plans.
State news
Rocky Mountain Health Plans: Outpatient prior authorization changes
Rocky Mountain Health Plans will require prior authorization for non-oncology, physician-administered medications.
Florida Medicaid: 2024 taxonomy rule changes
Learn how to navigate the updated policies when submitting claims.
Texas: Prior authorization updates for certain medications
Starting Feb. 1, 2024, we're updating prior authorization requirements for certain medications.
Claim payment reconciliation updates
Locate your claim payment data with more ease
See the claim payment reconciliation process changes that will help make your experience easier.
Mailing address changes
New UnitedHealthcare mailing address for contract notices and network information
UnitedHealthcare has new mailing addresses for contract-required notices and for general contract support.
January 18 publication
State news
Massachusetts Medicaid: VCP statements going paperless Feb. 2
Starting Feb. 2, 2024, we’ll no longer mail virtual card payment statements to most network medical health care professionals (primary and ancillary) and facilities who receive them in the mail.
Nebraska Medicaid: Explore training sessions to stay up to date on topics important to you
View the training schedule and register early to stay up to date on topics that are important to your role at your practice.
New Jersey: Medicaid claim letters going paperless
Starting Feb. 2, 2024, we will no longer mail claim letters to most medical network health care professionals and facilities for UnitedHealthcare Community Plans in New Jersey.
North Carolina Medicaid: Avoid claim denials
Find out how to submit a retroactive transition of care prior authorization.
Texas: Hormone drug prior authorization and clinical criteria updates
Starting March 1, 2024, we’re updating prior authorization and clinical criteria requirements for some hormone medications.
Washington Medicaid: VCP statements and claim letters going paperless
Starting Feb. 2, 2024, we will no longer mail virtual card payment statements and claim letters to most medical network health care professionals and facilities for UnitedHealthcare Community Plans in Washington.
Digital updates
Feb. 1: Reconsideration and appeal submissions going digital-only
Medicaid health care professionals must submit medical reconsideration and appeal submissions electronically in MI, MO, NJ, NC, TN, WA and WI.
New: Add unsolicited 275 attachments to claim submissions
In Q1 2024, you can attach unsolicited documents to your electronic claim submission.
Zero-dollar PRAs now in Document Library
You can now access separate payment and zero-payment provider remittance advice (PRAs) in the UHC Provider Portal.
Plan and program updates
Know more about NexusACO plans
UnitedHealthcare NexusACO® plans are growing in 2024. Learn their benefits and features.
Payment change for Medicare Supplement member deductibles
Starting Jan. 1, 2024, we’re expanding the availability of EZ Claim Pay, a service for some AARP® Medicare Supplement Plan G insured members.
New ID cards coming for some commercial plan members
Starting April 1, 2024, members of some Individual or Group Market health plans will be issued new ID cards with updated information.
Pharmacy news
Discontinuation of Levemir® FlexPen® and Levemir® vials
Novo Nordisk has announced the discontinuation of Levemir FlexPen and Levemir vials. See preferred covered alternatives.
PCA-1-23-03848-MarComm-NN-12182023
