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March 15, 2024 at 6:00 PM CT

Important Update -- Change Healthcare is experiencing a cyber security issue. Once we became aware of the outside threat, in the interest of protecting our partners and patients, we took immediate action to disconnect our systems to prevent further impact.

Register for a Temporary Funding Assistance Program webinar or learn more on their website, and find more information on the Provider Portal.

Policies and Protocols for Healthcare Providers

This library includes UnitedHealthcare policies and protocols. The policies and protocols presented here may not apply to all UnitedHealthcare plans.



Policy and Protocol news

May monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

Medical Policy Updates: May 2024

Medical policy updates for May 2024 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.

Pharmacy and clinical updates: May 2024

Review the latest drug list and pharmacy updates from UnitedHealthcare.

Specialty Medical Injectable Drug Program updates: May 2024

Specialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Exchange plans for May 2024.

Reimbursement Policy Update Bulletins: May 2024

You can review the details on May's reimbursement policy updates through the Commercial, Medicare Advantage, Medicaid and Exchange plan bulletins.

New DME order process with Synapse Health

Beginning Aug. 1, you’ll use Synapse Health for all durable medical equipment orders in Georgia and North Carolina.