June monthly overview

Network News is published monthly. See updates below.

June 1 publication

Medical policy updates
Medical policy updates for June 2026 for the following plans: Medicare, Medicaid, Exchanges and commercial.

Reimbursement policy updates
See the latest updates for reimbursement policies.

Specialty Medical Injectable Drug program updates
See the latest updates to requirements for Specialty Medical Injectable Drugs for UnitedHealthcare members.

Pharmacy and clinical updates
Access upcoming new or revised clinical programs and implementation dates for UnitedHealthcare plans.

Kentucky Medicaid outpatient therapy updates: What you need to know
Learn how KY Regulation 907 KAR 8:40 updates impact outpatient therapy authorization, medical necessity review and exemptions.

Maryland Medicaid: Balance billing is not permitted
Avoid payment recoupment and sanctions. See what steps you can take to stay compliant with balance billing regulations.

Massachusetts Medicaid: Reporting requirements for SREs and PPCs
View the reporting rules for Serious Reportable Events and Provider Preventable Conditions to report to UHC Community Plan of Massachusetts.

New Jersey Medicaid: Discover new program for serious illness care
Join the CBPC program to provide enhanced support for members with serious illnesses.

New Mexico Medicaid: State enrollment is required for claim payment
Effective July 1, 2026, rendering, ordering and prescribing providers must enroll with Medicaid to receive reimbursement.

New Mexico Medicaid: Updated payment policy for acute care readmissions
A member’s readmission to an acute care facility may be considered preventable. Know what can trigger a readmission review.

Changes to injectable oncology drug coverage are coming
On Sept. 1, 2026, we’ll exclude certain injectable oncology drugs when there are equivalent alternatives available.

Medicaid: New prior authorization codes for VBT and extremity prosthetics services
On Sept. 1, 2026, we’ll add new prior authorization codes for VBT and extremity prosthetic services in select states.

New codes added to outpatient radiology prior authorization program
On Sept. 1, 2026, we’ll add advanced imaging codes to the outpatient radiology prior auth program.

Updated prior authorization codes for VBT services
On April 1, 2026, we added new prior authorization vertebral body tethering codes to the Vertebral Body Tethering Policy.

New: Same-day payments for some commercial claims
Some processed claims are eligible for instant payment. Learn how to recognize the payment code and where to find the PRAs.

Medicaid: It’s easier than ever to join our network
The updated HCBS onboarding process simplifies requests, improves routing and reduces delays.

Introducing new care settings in My Practice Profile and Onboard Pro
Learn how new My Practice Profile and Onboard Pro care settings align better with nontraditional, virtual care models.

Resource updates for MY2026 Star hospital measures help improve outcomes
Access our tools and guides to help close your MY2026 Star hospital measures (FMC, PCR and TRC).

Act today: Help improve every patient experience
Explore patient experience training, now enhanced with HOS measure strategies, and earn a PXE credit.

Break nutrition barriers for patients with chronic kidney disease
Explore nutrition resources that can help unlock better kidney health outcomes for your patients.

Surest: Register today for the Benchmarking Overview webinar
Review how Surest compares providers across various services, including a view into the principles, methodologies and data used.