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- Bulletins and Newsletters | UnitedHealthcare Community Plan of Florida
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- Bulletins and Newsletters | UnitedHealthcare Community Plan of Indiana
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- Bulletins and Newsletters | UnitedHealthcare Community Plan of Kansas
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Kansas
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- Behavioral Health | UnitedHealthcare Community Plan of Kentucky
- Care Provider Manuals
- Claims and payments | UnitedHealthcare Community Plan of Kentucky
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- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Kentucky
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- Bulletins and Newsletters | UnitedHealthcare Community Plan of Louisiana
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- Bulletins and Newsletters | UnitedHealthcare Community Plan of Maryland
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Maryland
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- Bulletins and Newsletters | UnitedHealthcare Community Plan of Massachusetts
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Massachusetts
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- Claims and Payments | UnitedHealthcare Community Plan of Michigan
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- Bulletins and Newsletters | UnitedHealthcare Community Plan of Minnesota
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Minnesota
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- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Minnesota
- Prior Authorization and Notification | UnitedHealthcare Community Plan of Minnesota
- Provider Forms and References | UnitedHealthcare Community Plan of Minnesota
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- Bulletins and Newsletters | UnitedHealthcare Community Plan of Mississippi
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Mississippi
- How to Join the UnitedHealthcare network | UnitedHealthcare Community Plan of Mississippi
- Payment Policy Notifications | UnitedHealthcare Community Plan of Mississippi
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of Mississippi
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Mississippi
- Prior Authorization and Notification | UnitedHealthcare Community Plan of Mississippi
- Provider Forms and References | UnitedHealthcare Community Plan of Mississippi
- Provider Training | UnitedHealthcare Community Plan of Mississippi
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- Care Provider Manuals
- Claims and payments | UnitedHealthcare Community Plan of Missouri
- Pharmacy resources and physician-administered drugs | UnitedHealthcare Community Plan of Missouri
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Missouri
- Prior authorization and notification | UnitedHealthcare Community Plan of Missouri
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- Training and education | UnitedHealthcare Community Plan of Missouri
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- Behavioral Health | UnitedHealthcare Community Plan of Nebraska
- Bulletins and Newsletters | UnitedHealthcare Community Plan of Nebraska
- Care Provider Manuals
- Dental | UnitedHealthcare Community Plan of Nebraska
- Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
- Claims and Payments | UnitedHealthcare Community Plan of Nebraska
- Electronic Visit Verification (EVV) | UnitedHealthcare Community Plan of Nebraska
- Grievance and Appeal | UnitedHealthcare Community Plan of Nebraska
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of Nebraska
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Nebraska
- Prior Authorization and Notification | UnitedHealthcare Community Plan of Nebraska
- Quality Program
- Provider Resources and Forms | UnitedHealthcare Community Plan of Nebraska
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- Vision | UnitedHealthcare Community Plan of Nebraska
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- Bulletins and Newsletters | UnitedHealthcare Community Plan of New Jersey
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of New Jersey
- Managed Long-Term Care Services and Supports (MLTSS)
- Payment Policy Notifications | UnitedHealthcare Community Plan of New Jersey
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of New Jersey
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of New Jersey
- Prior Authorization and Notification | UnitedHealthcare Community Plan of New Jersey
- Provider Forms and References | UnitedHealthcare Community Plan of New Jersey
- Training and Education | UnitedHealthcare Community Plan of New Jersey
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- UnitedHealthcare Community Plan of New Mexico Homepage
- Behavioral Health | UnitedHealthcare Community Plan of New Mexico
- Bulletins and Newsletters | UnitedHealthcare Community Plan of New Mexico
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of New Mexico
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of New Mexico
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of New Mexico
- Prior Authorization and Notification | UnitedHealthcare Community Plan of New Mexico
- Provider Forms and References | UnitedHealthcare Community Plan of New Mexico
- Provider Training | UnitedHealthcare Community Plan of New Mexico
- Other Resources | UnitedHealthcare Community Plan of New Mexico
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- UnitedHealthcare Community Plan of New York Homepage
- Bulletins and Newsletters | UnitedHealthcare Community Plan of New York
- Behavioral Health Resources (Provider Express)
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of New York
- Payment Policy Notifications | UnitedHealthcare Community Plan of New York
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of New York
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of New York
- Prior Authorization and Notification | UnitedHealthcare Community Plan of New York
- Provider Forms and References | UnitedHealthcare Community Plan of New York
- Training and Education | UnitedHealthcare Community Plan of New York
- UnitedHealthcare Connected | UnitedHealthcare Community Plan of New York
- UnitedHealthcare Dual Complete® Special Needs Plans
- North Carolina health plans
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- North Carolina Nursing Home Plan
- UnitedHealthcare Community Plan of North Carolina
- Bulletins and newsletters | UnitedHealthcare Community Plan of North Carolina
- Claims and payments | UnitedHealthcare Community Plan of North Carolina
- Education and training | UnitedHealthcare Community Plan of North Carolina
- Pharmacy resources and physician-administered drugs | UnitedHealthcare Community Plan of North Carolina
- Policies and clinical guidelines | UnitedHealthcare Community Plan of North Carolina
- Prior authorization and notification | UnitedHealthcare Community Plan of North Carolina
- Provider forms, resources and references | UnitedHealthcare Community Plan of North Carolina
- Quality reports and PATH program | UnitedHealthcare Community Plan of North Carolina
- Transportation services | UnitedHealthcare Community Plan of North Carolina
- North Dakota health plans
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- Ohio UHC Care Advantage
- UnitedHealthcare Community Plan of Ohio
- Claims and payments | UnitedHealthcare Community Plan of Ohio
- Electronic visit verification | UnitedHealthcare Medicaid Community plan of Ohio
- Forms, billing and reference guides | UnitedHealthcare Community Plan of Ohio
- Medicaid provider contract templates | UnitedHealthcare Community Plan of Ohio
- Pharmacy resources and physician-administered drugs | UnitedHealthcare Community Plan of Ohio
- Policies and clinical guidelines | UnitedHealthcare Community Plan of Ohio
- Prior authorization and notification | UnitedHealthcare Community Plan of Ohio
- Training and education | UnitedHealthcare Community Plan of Ohio
- UnitedHealthcare Connected | UnitedHealthcare Community Plan of Ohio
- Oklahoma health plans
- Oklahoma Commercial Health Plans
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- Oklahoma Nursing Home Plan
- UnitedHealthcare Community Plan of Oklahoma Homepage
- Bulletins and Newsletters | UnitedHealthcare Community Plan of Oklahoma
- Claims and Payments | UnitedHealthcare Community Plan of Oklahoma
- Prior Authorization and Notification | UnitedHealthcare Community Plan of Oklahoma
- UnitedHealthcare Dual Complete® Special Needs Plans
- Training and Education | UnitedHealthcare Community Plan of Oklahoma
- Provider Forms and References | UnitedHealthcare Community Plan of Oklahoma
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Oklahoma
- Pharmacy Resources & Physician Administered Drugs | UnitedHealthcare Community Plan of Oklahoma
- Care Provider Manuals
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- Pennsylvania Commercial Health Plans
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- Pennsylvania Erickson Advantage Freedom/Liberty/Signature Plans
- Pennsylvania Group Medicare Advantage Plans
- Pennsylvania Nursing Home Plan
- UnitedHealthcare Community Plan of Pennsylvania Homepage
- Bulletins and Newsletters | UnitedHealthcare Community Plan of Pennsylvania
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Pennsylvania
- Early and Periodic Screening, Diagnosis and Treatment (EPSDT)/Bright Futures
- Payment Policy Notifications | UnitedHealthcare Community Plan of Pennsylvania
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of Pennsylvania
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Pennsylvania
- Prior Authorization and Notification | UnitedHealthcare Community Plan of Pennsylvania
- Quality Rewards Program | UnitedHealthcare Community Plan of Pennsylvania
- Training and Education | UnitedHealthcare Community Plan of Pennsylvania
- UnitedHealthcare Dual Complete® Special Needs Plans
- Rhode Island health plans
- Rhode Island Commercial Health Plans
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- Rhode Island Complete Care Chronic Plan
- Rhode Island Dual Complete® Special Needs Plans
- Rhode Island Group Medicare Advantage Plans
- Rhode Island Nursing Home Plan
- UnitedHealthcare Community Plan of Rhode Island Homepage
- Bulletins and Newsletters | UnitedHealthcare Community Plan of Rhode Island
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Rhode Island
- Payment Policy Notifications | UnitedHealthcare Community Plan of Rhode Island
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of Rhode Island
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Rhode Island
- Prior Authorization and Notification | UnitedHealthcare Community Plan of Rhode Island
- Provider Forms and References | UnitedHealthcare Community Plan of Rhode Island
- Training and Education | UnitedHealthcare Community Plan of Rhode Island
- UnitedHealthcare Dual Complete® Special Needs Plans
- South Carolina health plans
- South Dakota health plans
- Tennessee Health Plans
- Tennessee Commercial Health Plans
- Tennessee Medicare Advantage Health Plans
- Tennessee AARP® Medicare Advantage Plans
- Tennessee Complete Care Chronic Plan
- Tennessee Dual Complete® Special Needs Plans
- Tennessee Group Medicare Advantage Plans
- Tennessee UnitedHealthcare Medicare Advantage Plans
- UnitedHealthcare Community Plan of Tennessee Homepage
- Behavioral Health | UnitedHealthcare Community Plan of Tennessee
- Bulletins and Newsletters | UnitedHealthcare Community Plan of Tennessee
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Tennessee
- Payment Policy Notifications | UnitedHealthcare Community Plan of Tennessee
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of Tennessee
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Tennessee
- Prior Authorization and Notification | UnitedHealthcare Community Plan of Tennessee
- Provider Forms, Resources and References | UnitedHealthcare Community Plan of Tennessee
- Tennessee Episodes of Care / Patient Centered Medical Home / TN Health Link / Medication Therapy Management
- Training and Education | UnitedHealthcare Community Plan of Tennessee
- UnitedHealthcare Dual Complete® Special Needs Plans
- Buprenorphine Enhanced and Supportive Medication-Assisted Recovery and Treatment (BESMART)
- Texas Health Plans
- Texas Commercial Health Plans
- Texas Medicare Advantage Health Plans
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- Texas Complete Care Chronic Plan
- Texas Dual Complete® Special Needs Plans
- Texas Erickson Advantage Freedom/Liberty/Signature Plans
- Texas Erickson Advantage Champion/Guardian Plans
- Texas Group Medicare Advantage Plans
- Texas Nursing Home Plan
- Texas UnitedHealthcare Medicare Advantage Plans
- UnitedHealthcare Community Plan of Texas
- Behavioral health resources | UnitedHealthcare Community Plan of Texas
- Bulletins and Newsletters | UnitedHealthcare Community Plan of Texas
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Texas
- Contact Us | UnitedHealthcare Community Plan of Texas
- Electronic Visit Verification (EVV) | Texas
- Messages from the Texas Credentialing Alliance
- Messages from the Texas Health and Human Services Commission
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of Texas
- Policies and clinical guidelines | UnitedHealthcare Community Plan of Texas
- Prior authorization and notification | UnitedHealthcare Community Plan of Texas
- Provider Forms | UnitedHealthcare Community Plan of Texas
- Reference Guides and Value-Added Services | UnitedHealthcare Community Plan of Texas
- Training and Education | UnitedHealthcare Community Plan of Texas
- UnitedHealthcare Dual Complete® Special Needs Plans
- For Texas Community Plan members
- Utah health plans
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- Virginia Commercial Health Plans
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- Virginia Complete Care Chronic Plan
- Virginia Dual Complete® Special Needs Plans
- Virginia Erickson Advantage Freedom/Liberty/Signature Plans
- Virginia Erickson Advantage® Champion/Guardian Plans
- Virginia Group Medicare Advantage Plans
- Virginia Nursing Home Plan
- UnitedHealthcare Community Plan of Virginia Homepage
- Bulletins and Newsletters | UnitedHealthcare Community Plan of Virginia
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Virginia
- Payment Policy Notifications | UnitedHealthcare Community Plan of Virginia
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of Virginia
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Virginia
- Prior Authorization and Notification | UnitedHealthcare Community Plan of Virginia
- Provider Forms and References | UnitedHealthcare Community Plan of Virginia
- Training and Education | UnitedHealthcare Community Plan of Virginia
- UnitedHealthcare Dual Complete® Special Needs Plans
- Washington health plans
- Washington Commercial Health Plans
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- Washington Complete Care Chronic Plan
- Washington Dual Complete® Special Needs Plans
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- Washington Nursing Home Plan
- Washington UHC Care Advantage
- UnitedHealthcare Community Plan of Washington Homepage
- Behavioral Health | UnitedHealthcare Community Plan of Washington
- Bulletins and Newsletters | UnitedHealthcare Community Plan of Washington
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Washington
- Payment Policy Notifications | UnitedHealthcare Community Plan of Washington
- Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of Washington
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Washington
- Prior Authorization and Notification | UnitedHealthcare Community Plan of Washington
- Provider Forms and References | UnitedHealthcare Community Plan of Washington
- Training and Education | UnitedHealthcare Community Plan of Washington
- UnitedHealthcare Dual Complete® Special Needs Plans
- West Virginia health plans
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- Wisconsin Commercial Health Plans
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- Wisconsin Complete Care Chronic Plan
- Wisconsin Dual Complete® Special Needs Plans
- Wisconsin Group Medicare Advantage Plans
- Wisconsin UHC Care Advantage
- Wisconsin Nursing Home Plan
- UnitedHealthcare Community Plan of Wisconsin Homepage
- Behavioral Health | UnitedHealthcare Community Plan of Wisconsin
- Bulletins and Newsletters | UnitedHealthcare Community Plan of Wisconsin
- Care Provider Manuals
- Claims and Payments | UnitedHealthcare Community Plan of Wisconsin
- Payment Policy Notifications | UnitedHealthcare Community Plan of Wisconsin
- Physician Administered Drugs / Medical Injectables / Specialty Pharmacy | UnitedHealthcare Community Plan of Wisconsin
- Policies and Clinical Guidelines | UnitedHealthcare Community Plan of Wisconsin
- Prior Authorization and Notification | UnitedHealthcare Community Plan of Wisconsin
- Provider Forms and References | UnitedHealthcare Community Plan of Wisconsin
- Training and Education | UnitedHealthcare Community Plan of Wisconsin
- UnitedHealthcare Dual Complete® Special Needs Plans
- Resources for HealthCheck Providers | UnitedHealthcare Community Plan of Wisconsin
- Bright Futures Periodicity Schedule | UnitedHealthcare Community Plan of Wisconsin
- Wyoming health plans
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- Arizona Community Plan: Pharmacy policy updates effective Dec. 1
- Arizona immunization program re-enrollment required
- Arizona Medicaid: Help ensure covered lab services, refer patients to Labcorp
- Arizona Medicaid: Updated requirements for anthropometric and biochemical data
- Arizona Medicaid appeal letters are going paperless Sept. 8
- Arizona offering new health care scholarship opportunities
- Avoid claim delays for GEHA members
- Avoid claim denials for New Jersey Medicaid
- Behavioral health tools for primary care providers
- California timely access requirements
- California: Screen pregnant and postpartum patients for mental health
- Cardiac pacemaker coverage
- Caring for patients with sickle cell disease
- Changes for The Empire Plan starting Jan. 1, 2024
- Changes to The Empire Plan on July 1, 2023
- Coding tips for KED quality measure
- Colorado Medicaid: Genetic testing covered for prostate cancer
- Colorado: Oncology drug prior authorization update
- Coming soon: Faster and easier online credentialing
- Complete Special Needs Plan MOC training
- Colorado: Prior authorization waiver for inpatient transfers
- Coming soon: Onboard Pro capabilities for hospitals and facilities
- COVID-19 PHE ends on May 11, 2023
- Dec. 1: Digital pre-service appeal submissions required
- Digital documents coming to Mississippi Medicaid
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- Discontinuation of Flovent HFA and Flovent Diskus
- Empire Plan includes Excelsior and Student Employee Health Plans
- Feb. 1: Reconsideration and appeal submissions going digital-only
- Florida Medicaid: Claim and AHCA data must match
- Genitourinary Pathogen medical policy ending
- Have you tried our colorectal cancer screening tool?
- Hawaii Medicaid: HOKU registration required
- Help improve patient care with ADA training
- Helping you coordinate patient care
- Home health prior authorization review process changes, effective Jan. 1, 2024
- Jan. 1, 2024 updates to Individual Exchange plans PDLs
- Learn how cultural diversity helps improve care
- Make a difference in a child’s life
- Make a difference this Hispanic heritage month
- Maryland Medicaid: Changes to biomarker test for companion diagnostic testing
- Maryland Medicaid: Preventing health care fraud and abuse
- Massachusetts Medicaid: VCP statements going paperless Feb. 2
- Medicaid claim letters are going paperless
- Medicaid claim letters are going paperless
- Medicaid PRIME: Update prior authorizations or prescriptions to continue member care
- Medical Policy Updates: April 2023
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- Medicare Advantage service area changes
- Medicare: Part B step therapy prior authorization requirements
- Michigan: Earn extra payments for patient care
- Minnesota Medicaid: Submit your rates for outpatient services
- Mohs Micrographic Surgery prior authorization changes
- More claim letters are going paperless Aug. 4
- More claim letters going digital on July 14
- Nebraska Medicaid: Billing updates for JW modifier
- Nebraska Medicaid: Prior authorization updates for genetic and molecular testing
- Nebraska Medicaid: System updates to the claims editing application
- Neighborhood Health Partnership prior authorization reduction
- Network change for some APWUHP members
- Network updates for some GEHA members
- New 2024 Individual Exchange plans and prior authorization information
- New eConsult platform for specialty care
- New fields added in My Practice Profile
- New Hampshire: New, streamlined referral process
- New ID cards coming for some commercial plan members
- New Jersey Medicaid: Coverage reminder for Avastin
- New Jersey Medicaid: Verify practice technology use
- New Jersey: Medicaid claim letters going paperless
- New Mexico provider grievance plan for UnitedHealthcare commercial plans
- New Outpatient Procedure Grouper mapping exhibits for 2023
- New York: Required cultural health training by Oct. 1
- New Empire Plan mailing address for contractual notices
- New oncology prior authorization codes
- New York: Bariatric surgery requirement updates
- New York: Refer commercial plan patients to Oxford Preferred Lab Network
- North Carolina Medicaid billing update
- North Carolina Medicaid outpatient specialty claims
- North Carolina Medicaid: Pending claims prior to PML determination
- North Carolina: RJ Health crosswalk not required
- Ohio Medicaid: Radiofrequency ultrasound guidance procedure updates
- Overpayment letters going digital Nov. 3
- Overpayment letters, VCP statements going paperless Nov. 3
- Payment change for Medicare Supplement member deductibles
- Pennsylvania Medicaid: Check the preferred diabetic supplies list
- Peoples Health is changing to UnitedHealthcare systems on Jan. 1
- Peoples Health is moving to UnitedHealthcare systems
- Pharmacy and clinical updates: April 2023
- Pharmacy and clinical updates: August 2023
- Pharmacy and clinical updates: December 2023
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- Pharmacy and clinical updates: November 2023
- Pharmacy and clinical updates: October 2023
- Pharmacy and clinical updates: September 2023
- Prepare for the Peoples Health transition
- Prescription Drug List updates for Sept. 1
- Prior authorization reduction equals nearly 20 percent of overall volume
- Prior authorization required for GLP-1 medications
- Prior authorization requirement changes for radiation therapies
- Prospero and Landmark combine to create one home-based care program
- Q4 2023 MA-PCPi program enhancements
- Radiation therapy prior authorization requirement
- Refer at-risk patients to nutritional program
- Reimbursement Policy Update Bulletins: August 2023
- Reimbursement Policy Update Bulletins: December 2023
- Reimbursement Policy Update Bulletins: July 2023
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- Reimbursement Policy Update Bulletins: November 2023
- Reimbursement Policy Update Bulletins: October 2023
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- Rocky Mountain Health Plans medical criteria is available
- September monthly overview
- Signature requirement policy change for Medicaid home health services
- Some payment documents going paperless Oct. 6
- Specialty Medical Injectable Drug Program updates: August 2023
- Specialty Medical Injectable Drug Program updates: December 2023
- Specialty Medical Injectable Drug Program updates: July 2023
- Specialty Medical Injectable Drug Program updates: June 2023
- Specialty Medical Injectable Drug Program updates: May 2023
- Specialty Medical Injectable Drug Program updates: November 2023
- Specialty Medical Injectable Drug Program updates: October 2023
- Specialty Medical Injectable Drug Program updates: September 2023
- Submit oral chemotherapeutic prior authorizations to CGP
- Submit your 2023 diagnostic data for ACA-covered plans
- Tennessee Medicaid: New ASH claim billing requirements
- Texas Medicaid: Earn 5.5 hours of free CE
- Texas Medicaid: End of CHIP copayment waiver
- Texas Medicaid: Payment platform adjustments coming soon
- Texas Medicaid: Complete your education requirements online
- Texas Medicaid: Help us recognize excellent attendant care
- Texas Medicaid: New drug prior authorizations
- Texas Medicaid: Revenue code update for STAR Kids respite care
- Texas Medicaid: Updated ICD-10 codes for dialysis
- Texas: New AI technology helps improve birthing experience
- Texas: New Trauma TALKS course now available
- Texas: Pharmacy prior authorization, step therapy change
- Texas: Prior authorization updates for certain medications
- Texas: View the latest TraumaTALKS course
- The July 1 Preferred Lab Network list is available
- The PLN application process is open
- UnitedHealthcare Provider Portal enhancements for Surest benefit plans
- UnitedHealthcare Shared Services members can access our network
- Updated prior authorization requirement for genetic and molecular codes
- Updates to the Claims Detail page
- VCP statements going paperless Nov. 3
- Virginia Medicaid: No charge for doula referrals
- Virginia: Transition to Cardinal Care Medicaid program
- Want more flexible communication preferences?
- Washington Medicaid: VCP statements and claim letters going paperless
- Wisconsin Medicaid: Avoid claim denials for DME
- Wisconsin Medicaid: Important EVV updates from DHS
- You can submit pre-service appeals digitally
- You may be in network for some Oxford plan members
- 2024 News
- 2023 Quality Improvement survey results
- 2024 UnitedHealthcare OPG Exhibit reimbursement updates
- 2025 Medicare Advantage plan updates
- 2025 Medicare Advantage service area changes
- 2025 UnitedHealthcare UCard updates
- Add your merchant ID in My Practice Profile
- Advance healthy equity during Black History Month
- Annual federal audit of commercial plans
- Annual interim rate letter submission reminder
- Apply to be part of our Preferred Lab Network
- April is Minority Health Month
- April monthly overview
- Arizona: Appointment availability standards
- Arizona: No referrals required with HMO Open Access
- Arizona Medicaid: Continuous glucose monitors added to pharmacy benefit
- Arizona Medicaid: Understanding claims-based member assignments and capitated payments
- Arizona Medicaid: VCP statements and claim letters going paperless
- Attest to mental and developmental disability accommodations
- August monthly overview
- Avoid directory removal — verify and update your demographic data
- Avoid directory removal: Verify your demographic data
- Billable limits for dental procedures in an ambulatory surgery center
- California: Respond quickly to medical records requests
- Change to UnitedHealthcare Community Plan of New York non-covered codes list
- Changes to The Empire Plan enrollee benefits, effective July 1
- Changes to genetic and molecular testing coverage and prior authorization requirements
- Changes to your demographic data submission process
- Changes to your demographic data submission process on Oct. 1
- Colorado: No referrals required with HMO Open Access
- CommunityCare Portal can help save you time
- Complete special needs plan MOC training by Dec. 31
- Connect your Medicaid and Medicare patients with SDOH support
- Coordination of benefits information now available to streamline eligibility and billing
- Dec. 1: Electronic appeal and dispute submissions required for Arizona Medicaid
- Dec. 1: Electronic reconsideration and appeal submissions required
- December monthly overview
- Dig deeper into 10 new reasons to skip the phone
- Discontinuation of Bydureon BCise and Byetta
- Discontinuation of Levemir FlexPen and Levemir vials
- Earn $150 for obstetrical risk assessment form
- Earn incentives as a Patient Centered Medical Home
- Elevated lead levels found in applesauce products
- Equitable care, better health this Pride Month
- Expand your practice’s reach
- Explore the benefits of the OhioRISE care program for children and youth
- Explore the Think Cultural Health training by Oct. 1
- EZ Claim Pay available in additional states, starting April 1
- EZ Claim Pay available in additional states, starting July 1
- February monthly overview
- Florida: Avoid overpayment. Learn how HRA applies to out-of-pocket costs
- Florida: Explore the benefits of implementing SBIRT in your office
- Florida Medicaid: 2024 taxonomy rule changes
- Florida Medicaid: AHCA will terminate unregistered provider IDs Sept. 1
- Florida Medicaid: Changes to reimbursement rules for diabetic supplies
- Florida Medicaid: HearUSA to begin serving MMA members in July
- Florida Medicaid: Earn an OBRAF incentive
- Help patients who suffer with opioid use disorder
- Highlight cultural competencies on your My Practice Profile
- Home health and private duty nursing services prior authorization process
- Important AHCCCS Medical Policy Manual 510 revisions
- Important update: New Missouri Tobacco Quit Services changes
- Improve patient experience with Trellus Elevate
- Improvements to prior authorization process for sacral nerve stimulation for urinary and fecal indications
- Introducing a first-of-its-kind national Gold Card program
- Jan. 1: Electronic reconsideration submissions required
- January monthly overview
- Join the Michigan Vaccines for Children Program
- July 2024 Preferred Lab Network list is now available
- July monthly overview
- June monthly overview
- Kentucky: More Medicaid members will transition to UnitedHealthcare
- Know more about NexusACO plans
- LCD guidance for skin substitutes
- Locate your claim payment data with more ease
- Make a difference this Transgender History Month
- Make sure molecular tests have a Z-Code assigned
- March is National Women’s Month
- March monthly overview
- Maryland Medicaid: Preventing health care fraud and abuse
- Maryland Medicaid: State-required updates to specialty pharmacy prior authorization requirements
- Maryland: Expanded Medicaid coverage of gender-affirming treatments
- Maryland: Fertility preservation services covered for Medicaid members
- Massachusetts Medicaid: Use appropriate billing codes for faster DME claims processing
- Massachusetts: Expedited credentialing for care providers of closed hospitals
- Massachusetts: Updated mental health wellness exam coverage
- May is Asian American and Pacific Islander Heritage Month
- May monthly overview
- May 1: Electronic reconsideration and appeal submissions required
- Medical Policy Updates: April 2024
- Medical Policy Updates: August 2024
- Medical Policy Updates: December 2024
- Medical Policy Updates: February 2024
- Medical Policy Updates: January 2024
- Medical Policy Updates: July 2024
- Medical Policy Updates: June 2024
- Medical Policy Updates: March 2024
- Medical Policy Updates: May 2024
- Medical Policy Updates: November 2024
- Medical Policy Updates: October 2024
- Medical Policy Updates: September 2024
- Medical record documentation update for Surgery of the Hip and Surgery of the Knee
- Medicare Advantage: Prior authorization resources for outpatient therapy and chiropractic services
- Medicare: Part B step therapy prior authorization requirements
- Michigan: Prior authorization updates for provider administered medications
- Michigan Medicaid: Treating pregnant individuals and infants
- Minnesota Medicaid: Billing change for non-emergent transportation
- Minnesota Medicaid: Your claims may be denied if you’re not enrolled before Oct. 1
- Mississippi Medicaid managed care provider training workshops
- Missouri Medicaid: New state communications portal now available
- My Practice Profile updates make demographic changes easier
- Nebraska: Centralized credentialing available soon
- Nebraska Medicaid: Some telehealth services no longer covered
- New: Add unsolicited 275 attachments to claim submissions
- New changes: Close FUH gaps using qualified billing and diagnostic codes
- New DME order process with Synapse Health
- New GA modifier requirement for UnitedHealthcare commercial plans
- New ID cards coming for some commercial plan members
- New Jersey: Be prepared for random medical record reviews
- New Jersey: Complete survey to avoid credentialing denials
- New Jersey: Denied claims will no longer be automatically reprocessed
- New Jersey: NJPMP checks required
- New Jersey: Refer patients to Oxford Preferred Lab Network
- New Jersey Medicaid: 2 options for submitting HCBS T1001 claims
- New Jersey Medicaid: Claims reminder for nutritionist services
- New Jersey Medicaid: Consent form required with any sterilization claim
- New Jersey Medicaid: CPT code change for breast milk storage bags
- New Jersey Medicaid: Help ease the strain of rising medication costs
- New Jersey Medicaid: Unbundle maternity codes to avoid claim denials
- New 2025 Individual Exchange plans and prior authorization information
- New maternity benefits for pregnant members
- New online utilization management requirement
- New online utilization management requirement
- New online utilization management requirement
- New online utilization management requirement
- New prior authorization requirements for CGMs
- New radiation therapy requirements for Rocky Mountain Health Plans
- New UnitedHealthcare mailing address for contract notices and network information
- New York Medicaid: Enroll with state to avoid claim denials
- New York Medicaid: Update your data in My Practice Profile or CAQH
- No more Inpatient Care Management courtesy faxes
- Nominate a deserving attendant for the UnitedHealthcare REACH Award in Texas
- North Carolina: Get accurate rates for non-routine infant care
- North Carolina Medicaid: Avoid claim denials
- North Carolina Medicaid: Avoid denied DMEPOS claims
- North Carolina Medicaid: End dates corrected on some prior authorizations
- North Carolina Medicaid: EP modifier requirement for EPSDT services
- North Carolina Medicaid: Home health EVV has returned to soft launch
- North Carolina Medicaid: Rate increases
- November monthly overview
- Nov. 8: Claim-related documents going paperless for Louisiana and Pennsylvania Medicaid
- Now available: New and enhanced claim submission process features
- Now, more Surest support at your fingertips
- NPI number and taxonomy codes required Aug. 1, 2024
- Nutropin AQ NuSpin to be discontinued
- October monthly overview
- Ohio Medicaid: Balance billing is not permitted
- Ohio Medicaid: Time to revalidate your Medicaid agreement
- Oklahoma: Stay in our network, file all claims
- Outpatient therapy and chiropractic prior authorization requirements
- Pharmacy and clinical updates: April 2024
- Pharmacy and clinical updates: August 2024
- Pharmacy and clinical updates: December 2024
- Pharmacy and clinical updates: February 2024
- Pharmacy and clinical updates: January 2024
- Pharmacy and clinical updates: July 2024
- Pharmacy and clinical updates: June 2024
- Pharmacy and clinical updates: March 2024
- Pharmacy and clinical updates: May 2024
- Pharmacy and clinical updates: November 2024
- Pharmacy and clinical updates: October 2024
- Pharmacy and clinical updates: September 2024
- POS edit to prevent therapeutic duplication of GLP-1 medications
- Prepare for these new Choice Plus network members
- Prepare for these new Choice Plus network members
- Prior authorization requirement changes for radiation therapies
- Prioritize kidney health: Schedule evaluations for patients with diabetes and hypertension today
- Refer patients to in-network home infusion providers
- Register certain tests for phase 4 of the DEX Z-Codes
- Reimbursement Policy Update Bulletins: April 2024
- Reimbursement Policy Update Bulletins: August 2024
- Reimbursement Policy Update Bulletins: December 2024
- Reimbursement Policy Update Bulletins: February 2024
- Reimbursement Policy Update Bulletins: January 2024
- Reimbursement Policy Update Bulletins: July 2024
- Reimbursement Policy Update Bulletins: June 2024
- Reimbursement Policy Update Bulletins: March 2024
- Reimbursement Policy Update Bulletins: May 2024
- Reimbursement Policy Update Bulletins: November 2024
- Reimbursement Policy Update Bulletins: October 2024
- Reimbursement Policy Update Bulletins: September 2024
- Reminder: Balance billing is not permitted
- Required billing for Tennessee Medicaid network health care professionals
- Required clinical guideline updates for RMHP
- Review Texas Medicaid and Healthcare Partnership CPW program changes
- Review the new test code registration phase 2 process
- Review the UnitedHealthcare Medicare Part D drug cost and formulary changes
- RMHP Individual Exchange plans to align with hospital reference lab protocol
- Rocky Mountain Health Plans to align with UnitedHealthcare clinical requirements
- Rocky Mountain Health Plans: Outpatient prior authorization changes
- Rocky Mountain Health Plans: Prior authorization updates starting May 1, 2024
- Sept. 1: Electronic reconsideration and appeal submissions required
- Sept. 13: Several documents going paperless
- September monthly overview
- Specialty Medical Injectable Drug Program updates: April 2024
- Specialty Medical Injectable Drug Program updates: August 2024
- Specialty Medical Injectable Drug Program updates: December 2024
- Specialty Medical Injectable Drug Program updates: February 2024
- Specialty Medical Injectable Drug Program updates: January 2024
- Specialty Medical Injectable Drug Program updates: July 2024
- Specialty Medical Injectable Drug Program updates: June 2024
- Specialty Medical Injectable Drug Program updates: March 2024
- Specialty Medical Injectable Drug Program updates: May 2024
- Specialty Medical Injectable Drug Program updates: November 2024
- Specialty Medical Injectable Drug Program updates: October 2024
- Specialty Medical Injectable Drug Program updates: September 2024
- Streamline prior authorizations with our crosswalk
- Surest medical injectable policies to align with UnitedHealthcare commercial plans policies
- Surest out-of-network service area update
- Surest plans: Change to oncology prior authorization process
- Take charge of your time
- Texas: Hormone drug prior authorization and clinical criteria updates
- Texas: Prior authorization updates for certain medications
- Texas: Prior authorization updates for certain medications
- Texas Medicaid: 25 in-person meetings coming to you soon
- Texas Medicaid: DME exceptional circumstances provision
- Texas Medicaid: Enroll to receive your enhanced LTSS rate
- Texas Medicaid: Help avoid service delays
- Texas Medicaid: Log ImmTrac2 consent to submit immunization records
- Texas Medicaid: Postpartum coverage extended to 12 months
- Texas Medicaid: PSON form must be completed to avoid service delays
- Texas Medicaid: State-required prior authorization updates for medications
- Texas Medicaid: State-required prior authorization updates for medications
- The 2024 Hero Kit is now available
- The Medicare Advantage Medical Policy applies to certain wound treatments, skin substitutes
- The road to health equity through technology
- Trellus Elevate: Empower your patients with personalized IBD support
- Two-step claims reconsiderations and appeals process reminder
- Udenyca Onbody is a preferred pegfilgrastim product
- UnitedHealthcare national Gold Card program protocol
- Update your One Healthcare ID to maintain portal access
- Updated 2025–2027 credentialing plan effective in March
- Updates to Individual Exchange plans PDLs on Jan. 1, 2025
- Updates to oncology and hematology prior authorization codes for many plans
- Updates to pharmacy prior authorization and step therapy requirements
- Verify address to avoid APWUHP claim appeal delays
- View the NOMNC determination and delivery
- Virgin Islands: Benefit update for certain Medicare Advantage plan members
- Virginia Medicaid: Complete an OBRAF to earn a $100 incentive
- Washington Medicaid: Less utilization management tasks for ITA members
- Washington Medicaid: Preeclampsia awareness project
- We're now covering certified doula services
- Wisconsin Medicaid: Help children access preventive care
- Wisconsin Medicaid: Requirements and best practices for lead screening in children
- Your Community Plan medical claim letters are going paperless soon
- Your network directory information may be inaccurate
- Zero-dollar PRAs now in Document Library
- 2025 News
- Access HealthCheck to help children receive preventive care
- APIs can save time for your whole team
- April monthly overview
- Arizona: Make demographic updates quickly with online tools
- Avoid claim rejections and denials
- Cancer Guidance Program rounding down dose option
- Claim-related documents going paperless for Kansas and Nebraska Medicaid
- Complete the required MOC training
- Coordination of benefits reconsideration review
- Don’t wait: Submit your saved My Practice Profile changes
- Earn $100 incentive with SBIRT
- Electronic reconsideration and appeal submissions required
- Ensure PCP assignment to avoid reimbursement denial
- Ensure uninterrupted patient care: Help your Medicaid patients avoid a lapse in coverage
- Ensure you and all 3rd party vendors have UnitedHealthcare Provider Portal access
- Epic helps make SDOH screenings easier
- February monthly overview
- Florida: TurningPoint to manage prior authorization process for musculoskeletal surgical procedures
- Full test menu providers available in our Preferred Lab Network
- G.E.H.A members have new ID cards
- Help your patients find the care they need
- Home health prior authorization review process no longer required
- Improve patient satisfaction through cultural competency
- Invite your patients to participate in the VOICES of Black Women health study
- January monthly overview
- June 6: Several documents going paperless
- Kentucky Medicaid: Home infusion claim requirements
- Know more about NexusACO plans
- Louisiana Medicaid: Updates to specialty pharmacy prior authorization requirements
- March monthly overview
- Maryland Medicaid: Discarded drugs and biologicals reimbursement policy update
- Maximize your incentives in 2025 with the enhanced MA-PCPi program
- Medicaid: View the genetic and molecular codes added to prior authorization requirements
- Medical Policy Updates: April 2025
- Medical Policy Updates: February 2025
- Medical Policy Updates: January 2025
- Medical Policy Updates: March 2025
- Medicare Advantage: Updates to prior authorization requirement for outpatient therapy and chiropractic services
- New genetic and molecular codes added to Texas state prior authorization requirements
- New Jersey Medicaid: 2025 behavioral health services update
- New Jersey Medicaid: Prior Authorization is required for all Personal Care Assistance services
- New Mexico Medicaid: Virtual doula services available
- Network News is going monthly
- New York Medicaid: Compliance program requirement
- New York Medicaid: Doula services coming soon to Medicaid Managed Care
- New York Medicaid enforces NDC requirements for claims with HCPCS J-codes
- North Carolina: Initiated transfer and paper claim submission update
- North Carolina Medicaid: Avoid rejected claims. Include billing taxonomy code and registered NPI.
- North Carolina Medicaid: Reimbursement rate changes for personal care services
- Outpatient therapies prior authorization program for Medicare Advantage expanding to Arizona, Colorado, and Oklahoma
- Pharmacy and clinical updates: April 2025
- Pharmacy and clinical updates: February 2025
- Pharmacy and clinical updates: January 2025
- Pharmacy and clinical updates: March 2025
- Prepare for new Choice Plus network members
- Prepare for these new Choice Plus network members
- Prepare for these new Choice Plus network members
- Prepare for new Options PPO network members
- Prior authorization requirements for non-invasive prenatal testing
- Reimbursement Policy Update Bulletins: April 2025
- Reimbursement Policy Update Bulletins: February 2025
- Reimbursement Policy Update Bulletins: January 2025
- Reimbursement Policy Update Bulletins: March 2025
- Rhode Island Medicaid: OAE testing is not medically necessary for routine hearing screening
- See what’s new: Georgia 2025 provider protocols
- Specialty Medical Injectable Drug Program updates: April 2025
- Specialty Medical Injectable Drug Program updates: February 2025
- Specialty Medical Injectable Drug Program updates: January 2025
- Specialty Medical Injectable Drug Program updates: March 2025
- State of New York: Introducing fresh, new logos and ID cards
- Texas Medicaid: Help avoid pharmacy prior authorization delays
- Texas Medicaid: State-required medication prior authorization updates
- Texas Medicaid: State-required medication prior authorization updates
- The 2025 Hero Kit is now available
- UnitedHealthcare national Gold Card code update
- UnitedHealthcare Outpatient Procedure Grouper Exhibit annual reimbursement update
- Updates to specialty pharmacy prior authorization requirements for UnitedHealthcare Community Plan members in Michigan
- View the Oncology Pay for Performance code update
- Wisconsin Medicaid: Remember state requirements when submitting claims for OB antepartum care
- Wisconsin Medicaid requirement: Claims must match the Wisconsin Max Fee Schedule to avoid denials
- Wisconsin Medicaid requires pediatric blood lead screening
- Your 2025 Care Provider Administrative Guide is ready
- New UnitedHealthcare mailing address for contract notices
- News Survey
- Emergency Notifications and Support
- Subscribe for a simpler way to stay informed
- NCCN Drugs & Biologics Compendium - Free Access
- Acute Hospital Care at Home
- Application Programming Interface (API)
- Behavioral Health Resources
- Cancer Support Program
- Drug Lists and Pharmacy
- Clinical Program Drug Step Therapy - Commercial
- PreCheck MyScript Tool
- Specialty Pharmacy Program - Commercial
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