Synapse Health will soon manage DME orders in select states

Beginning April 1, 2026, Synapse Health will manage the durable medical equipment (DME) ordering and fulfillment process for certain UnitedHealthcare® Medicare Advantage plans in specific states.

Individual HMO and PPO plans

Synapse Health will manage DME for members in these states:

Chronic Special Needs Plans (C-SNP)

Synapse Health will manage DME for members in these states:

Dual Special Needs Plans (D-SNP)

Synapse Health will manage DME for members in these states:

North Dakota

South Dakota 

West Virginia 

We understand this is a change to our existing provider network, and to the current DME ordering and fulfillment processes. However, considering feedback from our providers and members, we recognized an opportunity to improve the experience for everyone — ordering physicians, DME suppliers and members. This expansion builds on the capitated agreement already in place.

What this means for you

DME prescribers

Beginning April 1, 2026, you should prescribe DME through the Synapse Health e-prescribing portal. In the next few months, a Synapse Health team member will contact you to answer questions. You can also schedule personalized individual training and view self-help resources on the Synapse Health website. 

For our members who require continuous DME services after April 1, 2026, Synapse Health will collaborate with existing DME providers to ensure continuity of care or facilitate the transition to a new DME provider. Synapse Health may contact you if a new order or documentation is required to support the patient’s ongoing DME needs or plan of care.

DME providers 

DME providers will need to join the Synapse Health network to continue to provide standard DME for most UnitedHealthcare Medicare Advantage Plan members. Synapse Health will contact you with details about joining their network, or you can email JoinOurNetwork@synapsehealth.com.

What’s included in this change

The following mail order supplies and standard DME products:

What’s not included with this change

This change does not apply to the following Medicare Advantage plans:

• Institutional Special Needs Plans (I-SNP)
• Institutional Equivalent Special Needs Plans (IE-SNPs) 
• Group retiree plans

Questions?

Visit Synapse Health or call 888-336-9363.