Access to care and appointment availability standards for Community and State Plan Missouri
Avoid claim errors by ensuring you’re following Exchange plan referral requirements
Avoid claim errors for annual wellness visits by using the correct diagnoses and codes.
Effective April 1, 2021, naviHealth will manage post-acute care for Medicare Advantage members in additional markets.
You’ll follow a new process for submitting claims, prior authorization requests and more for some UnitedHealthcare Medicare Advantage HMO members.
Credentialing requirements, non-delegated providers, submitting request for participation form
As of Feb. 2, 2021, UnitedHealthcare West health care professionals can now update and manage direct deposit (ACH) and payment information through Optum Pay.
In response to feedback from health care professionals, Optum Pay now includes additional payment information that you can access at no cost.
Enrollment in the state’s program is required before you can administer COVID-19 vaccines.
Your state’s health department has information about local COVID-19 vaccine availability.
You can play a role in identifying substance abuse risks by screening and helping patients make healthy decisions by referring them for treatment.
Effective Dec. 1, 2020, 11 codes for RNA testing have been removed from the prior authorization requirement.
Get ready for Practice Assist. Make the transition easy. Join live training to learn the new management tool.
Including the correct information when requesting prior authorization for outpatient injectable chemotherapy will help ensure timely care for your patient.
New options can help you manage myVACCN access and your VA CCN claims for Veteran care.
As you and your staff begin providing care to new UnitedHealthcare Community Plan of Kentucky members in the Medicaid program, we want to make sure you have the information you need to do business with us. This new Medicaid program is for members currently enrolled in the state’s Medicaid, Children’s Health Insurance Program (CHIP), Aged, Blind or Disabled children and adults who are not eligible for Medicare. The program is available statewide as of Jan. 1, 2021.
As you and your staff begin providing care to new UnitedHealthcare Community Plan of Kentucky members in the Medicaid program, we want to make sure you have the information you need to do business with us. This new Medicaid program is for members currently enrolled in the state’s Medicaid, Children’s Health Insurance Program (CHIP), Aged, Blind or Disabled children and adults who are not eligible for Medicare. The program is available statewide as of Jan. 1, 2021.
You can register with the Kentucky Department of Public Health to administer the COVID-19 vaccine through your practice.
Peer-to-peer wellness program intended to help physicians address challenges that come with their medical career.
New UnitedHealthcare provider portal offers integrated self-service workflow.
We updated our policy to exempt Nebraska Community Plan health care professionals from the Physical Medicine & Rehabilitation: Multiple Therapy Procedure Reduction Policy.
Starting March 1, 2021, the Nebraska provider call center hours of operation are changing from 7 a.m.–8 p.m. to 7 a.m.–6 p.m. CT.
The UnitedHealthcare Community Plan of Tennessee is proud to announce the launch of a new bundled payment program for total joint replacement (TJR) and bariatric surgery.
UnitedHealthcare has expanded options for members to purchase health insurance.
July 1st name change for UnitedHealthcare West Prior Authorization to UnitedHealthcare Commercial West Prior Authorization Requirements
Begin your free trial with Optum Pay, new features and functionality available.
Prenatal Risk Assessment forms (PRAF) are important for the care and referral of patients. They also help ensure that moms receive the best support for a healthy pregnancy. When you fill out the form, we’re notified of the member’s pregnancy, so we can enroll the mom-to-be in our Maternity Management programs as soon as possible.
This new program connects expectant moms for support during pregnancy and beyond.
New prior authorization enhancements and prior authorizations are going digital
Providers may be contacted by Optum to schedule VA CCN appointments.
Providers may be contacted by Optum to schedule VA CCN appointments.
PRAs can be at your fingertips — at no cost — with just a few clicks
The goal in sharing this data is to support you and your practice by highlighting how your data compares to that of other physician groups in the same specialty. Reports included adapted measures that have been endorsed by the National Quality Forum and used in the Oncology Care Model.
Effective Jan. 1, 2021, we’ve implemented new documentation requirements for providers submitting a new prior authorization request for skilled shift care services. This applies to UnitedHealthcare Community Plan members, ages 21 and younger. in Pennsylvania.
Renew by UnitedHealthcare helps encourage members to take an active role in their preventive care.
UnitedHealthcare will reprocess claims previously paid at $0 to be reimbursed at 100% of the Medicare fee schedule. No action is required from affected SNFs for these adjustments.
Ready for 2021? We are. You’ll find the latest plan information at UHCprovider.com.
Ready for 2021? We are. You’ll find the latest plan information at UHCprovider.com.
We believe members who have positive experiences are more likely to follow medical advice and treatment plans from their care provider.
Starting June 1, 2021, we will begin managing prior authorizations for genetic and molecular tests. This change will impact the process for requesting prior authorization and registering lab tests.
Online resources to help PCPs screen patients for behavioral health conditions.
Check out these resources to learn more about UnitedHealthcare NexusACO.
The manual will be updated quarterly, and off-cycle updates will be made as determined by Optum.
The manual will be updated quarterly, and off-cycle updates will be made as determined by Optum.
Beginning Feb. 1, 2021, provider remittance advices (PRAs) for medical claims will no longer be printed and mailed to contracted (in-network) health care professionals in Utah.
Please respond if contacted for HEDIS® medical record collection.
On Aug. 17, 2021, Internet Explorer 11 will no longer be supported for Microsoft's online services, like Office 365, OneDrive, Outlook and more.