Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective January 1, 2021

This list provides advance prior authorization review requirements for in-network services for your patients who are Neighborhood Health Partnership (NHP) plan members.

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective October 1, 2020

This list provides advance prior authorization review requirements for in-network services for your patients who are Neighborhood Health Partnership (NHP) plan members.

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective October 1, 2019

This list provides advance prior authorization review requirements for in-network services for your patients who are Neighborhood Health Partnership (NHP) plan members. Updates to this list are announced regularly in the UnitedHealthcare Network ...

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective November 1, 2019

This list provides advance prior authorization review requirements for in-network services for your patients who are Neighborhood Health Partnership (NHP) plan members. Updates to this list are announced regularly in the UnitedHealthcare Network ...

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective Dec. 1, 2019

This list provides advance prior authorization review requirements for in-network services for your patients who are Neighborhood Health Partnership (NHP) plan members.

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective Feb. 1, 2020

This list provides advance prior authorization review requirements for in-network services for your patients who are Neighborhood Health Partnership (NHP) plan members.

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective February 1, 2021

This list provides advance prior authorization review requirements for in-network services for your patients who are Neighborhood Health Partnership (NHP) plan members.

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective 3/1/2020

This list provides advance prior authorization review requirements for in-network services for your patients who are Neighborhood Health Partnership (NHP) plan members.

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective March 1, 2021

This list provides advance prior authorization review requirements for in-network services for your patients who are Neighborhood Health Partnership (NHP) plan members. Updates to this list are announced regularly in the UnitedHealthcare Network ...

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective 5/1/2020

This list provides advance prior authorization review requirements for in-network services for your patients who areNeighborhood Health Partnership (NHP) plan members.

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective 4/1/2020

This list provides advance prior authorization review requirements for in-network services for your patients who areNeighborhood Health Partnership (NHP) plan members.

Neighborhood Health Partnership Advance Notification/Prior Authorization Requirements - Effective June 1, 2020

This list provides advance prior authorization review requirements for in-network services for your patients who areNeighborhood Health Partnership (NHP) plan members.

Hepatitis C Agents (Pennsylvania Medicaid Only) Prior Authorization Form - Community Plan

Use this paper fax form to submit requests for the following state plans: Pennsylvania UnitedHealthcare Community Plan for Families

Gonadotropin-Releasing Hormone Agonists (New York Essential Plan) Prior Authorization Form - Community Plan

Use this paper fax form to submit requests for the following state plans: New York Essential Plan

Gonadotropin-Releasing Hormone Agents (AZ, HI, MD, NJ, NY, PA-CHIP, RI) Prior Authorization Form - Community Plan

Use this paper fax form to submit requests for the following state plans: Arizona AHCCCS/Medicaid, Arizona Children's Rehabilitative Services (CRS) Program, Arizona Developmentally Disabled Program, Arizona Long Term Care, Hawaii UnitedHealthcare ...

Epclusa: Initial (North Carolina) Prior Authorization Form - Community Plan(North Carolina) Prior Authorization Form - Community Plan

Use this paper fax form to submit requests for the following state plans: North Carolina UnitedHealthcare Community Plan