Prior Authorization and Notification
We have online tools and resources to help you manage your practice’s notification and prior authorization requests.
To submit and manage your prior authorizations, please sign in to the UnitedHealthcare Provider Portal. Additional information on prior authorizations is available on uhcprovider.com/priorauth.
Current Prior Authorization Plan Requirements
UnitedHealthcare Community Plan - Mississippi Children's Health Insurance Program (CHIP)
UnitedHealthcare Community Plan - Mississippi Coordinated Access Network (MississippiCAN)
UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan (Dual Special Needs Plan) Prior Authorization Requirements
The cardiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed with the help of physician advisory groups to encourage appropriate and rational use of cardiology services. Using them helps reduce risks to patients and improves the quality, safety and appropriate use of cardiac procedures.
Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.
The oncology prior authorization and notification programs aim to increase quality and patient safety by increasing compliance with evidence-based standards of care.
Previous Prior Authorization Plan Requirements
UnitedHealthcare Community Plan - Mississippi Children's Health Insurance Program (CHIP)
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Oct. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Aug 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective June 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective May 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective April 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Mar. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Jan. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Oct. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Sept. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Aug. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Jul. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Jun. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Apr. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Mississippi CHIP - Effective Mar. 1, 2023
UnitedHealthcare Community Plan - Mississippi Coordinated Access Network (MississippiCAN)
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Oct. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Aug. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective June 1, 2024
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective May 1, 2024
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective April 1, 2024
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Mar. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Jan. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Oct. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Sept. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Jul. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Jun. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Apr. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Mar. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization MississippiCAN - Effective Feb 1, 2023
The radiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for diagnostic imaging procedures. They help reduce risks to patients and improve the quality, safety and appropriate use of imaging procedures.