Resources related to prior authorization and notification for Rhode Island Community Plan care providers.

Resources related to prior authorization and notification for Tennessee Community Plan care providers.

Resources related to prior authorization and notification for Texas Community Plan care providers.

Resources related to prior authorization and notification for Virginia Community Plan care providers.

Resources related to prior authorization and notification for Washington Community Plan care providers.

Resources related to prior authorization and notification for UnitedHealthcare Community Plan of West Virginia.

Resources related to prior authorization and notification for Wisconsin Community Plan care providers.

In this section you will find the tools and resources you need to help manage your practice’s prior authorization and notification requirements, with program specific information available for Cardiology, Oncology, Radiology, Clinical Pharmacy and...

We require notification/prior authorization for injectable outpatient chemotherapy and related cancer therapies administered in an outpatient setting, including but not limited to intravenous, intravesical and intrathecal for a cancer diagnosis.

To help ensure our member benefit coverage is medically appropriate, we regularly evaluate our medical policies, clinical programs and health benefits based on the latest scientific evidence and specialty society guidance. To support these goals, ...

This page includes a summary of the Prior Authorization and Notification Program, and is not meant to be comprehensive. Please refer to the UnitedHealthcare Administrative Guide for program details and required protocols.

Learn how you can instantly check requirements ‒ and submit your request – using the Prior Authorization and Notification tool on Link, your gateway to UnitedHealthcare’s online tools.

Listing of requirements for Clinical Pharmacy /Drugs Prior Authorization, Notification, and Medical Necessity for Commercial Members.

Prior Authorization Utilization Review Statistics information is provided to comply with a regulatory requirement for states that require disclosure of information for services that require pre-service review.

Information about retiring fax numbers used for medical prior authorization.

In October 2019, we launched new enhanced functionality in our Prior Authorization and Notification tool on Link.