Prior Authorization and Notification

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 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. View the following links for more information and resources on the specific programs.

UnitedHealthcare Community Plan of Washington - Apple Health

• UnitedHealthcare Community Plan Prior Authorization Requirements for Washington - Effective April 1, 2025open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements for Washington - Effective March 1, 2025open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements for Washington - Effective February 1, 2025open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements for Washington - Effective October 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements for Washington - Effective July 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements for Washington - Effective June 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective May 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective Apr. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective Mar. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective Jan. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective Dec. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective Nov. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective Oct. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective Sept. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective July 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective June 1, 2023open_in_new

• Pharmacy Drug-Specific Paper Prior Authorization Forms 
  
• Washington Apple Health Behavioral Health Fax Request Formopen_in_new

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.