March 01, 2026

March monthly overview

Network News is published once a month. See updates below.

March 1 publication

Medical policy updates
Medical policy updates for March 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.

Florida Medicaid: New NEMT transportation vendor
Starting March 1, 2026, MTM Health will arrange non-emergency medical transportation.

Georgia: Review key referral and billing protocols
Georgia referrals and billing rules — access the required form and review steps.

Massachusetts D-SNP updates: Senior Care Options, One Care members
Learn more about the 2026 SCO and One Care updates to ID cards, prior authorizations and more.

Massachusetts Medicaid: Eligibility changes for SCO, One Care enrollees
See how recent dual-eligibility updates impact Senior Care Options and One Care enrollees.

New Mexico Medicaid: State changes to the claims process
New Mexico HCA and MAD are launching a new claims management system this spring. Learn about payer ID updates and more.

New Mexico Medicaid: Taxonomy and ZIP codes required on claims
Match the taxonomy and ZIP codes to your provider type to avoid claims from getting rejected or denied. Learn more.

North Carolina Medicaid: Billing guidance for cell and gene therapy treatments
CMS Cell and Gene Therapy Access Model is open for Medicaid enrollees. Learn prior authorization and billing requirements.

North Carolina Medicaid: Submitting hospice claims for members in SNFs
When coordinating care in a SNF, hospice providers are responsible for filing R&B claims on behalf of both entities.

North Carolina Medicaid: Updated coverage for GLP-1 medications
To comply with state requirements, we’ve restored the coverage for GLP-1 drugs for obesity treatment to the benefits available as of Sept. 30, 2025.

AARP Medicare Supplement: Change to overpayment reimbursement process
To simplify the repayment process for overpaid benefits, we’ll offset ACH balances with the amount due. Learn more.

Medicare Advantage referrals: No immediate claim denials
Specialist visits requiring PCP referral will be approved without referral through April 30. See what’s changing and when.

Medicare: New prior authorization process for certain oncology procedures
On June 1, 2026, outpatient chemotherapy will require prior authorization via Optum CGP for select UnitedHealthcare plans.

BAI codes identify real-time transactions for select commercial claim payments
We added BAI codes to identify commercial real-time claim payments. Learn more.

Medicaid: New cervical cancer screening guidelines
The Health Resources and Services Administration recently announced new guidelines for cervical cancer screenings.

New DME process for select members in multiple states
On June 1, 2026, you’ll use Synapse Health for durable medical equipment orders in Florida and Mississippi.

Onboard Pro now offers bulk single and multistate credentialing
View updates in the Medical Providers section of our Onboard Pro interactive guide.

We’re rolling out an improved prior authorization submission experience
Explore the updates you may see within the Prior Authorization and Notification tool on the UnitedHealthcare Provider Portal.

Complete required special needs plan training by Dec. 31
The Centers for Medicare and Medicaid Services require all special needs plans to complete this training by Dec. 31, 2026.

Women’s Health Month: Not all heart attacks look the same
Understanding how heart attack symptoms present in women can save lives. Learn more while earning free online credits.