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Learn more about the tools and best practices designed for delegated providers.
Access to Care Training – Department of Managed Care Non-Emergency Access Regulations
Delegation Oversight – Preferred vs. In-Network Providers
Delegation Oversight – Reopening in the Appeals Process
Facility Denial Letter – Best Practice
Inpatient Concurrent Review Documentation Quick Reference Guide
Medical Director Determination Documentation Quick Reference Guide
Member Initiated Organization Determinations (MIODs) Overview
Mental Health Parity Training for Delegated Providers
Notice of Medicare Non-Coverage (NOMNC) and QIO
Special Needs Plans (SNP) Annual Face-to-Face Encounters
Special Needs Plan (SNP) Model of Care Training for Providers
UnitedHealthcare Appeals Process – Delegate Responsibilities
UnitedHealthcare’s Language Assistance Program (LAP)
Updated Clinical Delegation Oversight Assessment Process