August monthly overview

Network News is published monthly. See updates below.

August 1 publication

Medical policy updates
Medical policy updates for August 2026 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.

California: PAAS survey participation required
California providers may be selected for the required PAAS survey August–December 2026. Learn what to expect if contacted.

Hawaii Medicaid: Updated payment policy for acute care readmissions
A member’s readmission to an acute care facility may be considered preventable. Know what can trigger a readmission review.

New York Medicaid: Complete required cultural competency training
Take this free online course for an overview of how to meet your patients’ cultural, health literacy and language needs.

Pennsylvania Medicaid: Support patients with new CHW services benefit
Learn how CHW services support chronic care management, referral requirements and billing.

Check your Gold Card eligibility status on Sept. 1
The National Gold Card Program will soon enter its third year and with that, additional provider groups will be eligible.

Updated prior auth process for Salvation Army – Southern Territory members
Prior auth process reminder for Salvation Army – Southern Territory members in the Choice Plus network.

EC7810 and CP7810 reports show updated code types
We’ve changed the formats of EC7810 and CP7810 fields to match the CMS Monthly Membership Reports. Learn more.

New commercial UCap reports show details on capitation payments
Beginning in August 2026, providers can access reports used for reconciling commercial fixed per-member payments.

Update eligible Medicaid and Exchange Members’ PCP in the portal
Update patients’ PCPs in the UHC Provider Portal for eligible Medicaid and Exchange members in select states when available.

Check your network status to avoid disruptions
D-SNP alignment changes may affect patient coverage and network participation. Review your status and prepare now.

Review appointment availability for Exchange plan members
Meet required appointment wait time standards to help support member access.

Find the training you need for everyday tasks
Explore training, webinars and digital resources to help you work with UnitedHealthcare.

Help make preventive care part of back-to-school prep
As back-to-school season approaches, encourage patients to get their recommended immunizations and preventive care.

Commercial plans: September drug list updates now available
The new Sept. 1, 2026, drug list updates are here for UnitedHealthcare commercial plans — see what’s changing.