DME prior authorization updates for DC Medicaid
Effective Oct. 1, 2025, UnitedHealthcare Community Plan of District of Columbia is aligning specific durable medical equipment (DME) prior authorization requirements with the UnitedHealthcare® Dual Complete® Special Needs Plan (DSNP) requirements.
This update applies to the following DME categories, with specific CPT® codes listed. The authorization update applies to both UnitedHealthcare Community Plan District of Columbia as well as integrated DSNP plans for Long-Term Care Services and Supports (LTSS) enrollees.
- Hospital beds
- Patient lifts
- Power wheelchairs
- Respiratory support devices
How to submit and manage prior authorizations
- Sign in to the UnitedHealthcare Provider Portal with your One Healthcare ID
- If you don’t have a One Healthcare ID, register now
- From the left-hand tabs, select Prior Authorizations & Notifications
For training, view our Prior Authorization and Notification interactive guide.
Questions? We're here to help.
Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal.
CPT® is a registered trademark of the American Medical Association.
PCA-1-25-01842-C&S-NN_08292025
