Social Determinants of Health (SDoH), or social needs, are non-clinical, societal, and environmental conditions which prevent individuals from accessing proper health care. This can include difficulties with:
The SDoH protocol requires those who provide services to UnitedHealthcare members, to use ICD-10 (or successor diagnostic codes) to capture SDoH information.
Z-codes are part of the ICD-10 code list. We require you to routinely screen and submit the appropriate Z55 through Z65 ICD-10 code(s) documentation when a patient has social needs.
In 2023 HEDIS will measure the percentage of members who were screened for:
HEDIS will also measure the percentage of members who received a corresponding intervention within 1 month of screening positive for food, housing or transportation insecurity.
Optum Behavioral Health
You have opportunities to receive CME credits through our partnership with OptumHealth Education.
Getting Started with UnitedHealthcare
Discover how you can use the UnitedHealthcare Provider Portal for all of your online services, including claims, eligibility, prior authorization, referrals and SDoH Z-codes.