Search

Policies and Protocols for Healthcare Providers

This library includes UnitedHealthcare policies and protocols. The policies and protocols presented here may not apply to all UnitedHealthcare plans.



Policy and Protocol news

October monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates for October 2024.

Explore the benefits of the OhioRISE care program for children and youth

The Ohio Department of Medicaid’s OhioRISE program may offer benefits for patients under the age of 20. Learn more.

California: Respond quickly to medical records requests

California UnitedHealthcare commercial plan care providers are legally and contractually required to respond to medical records requests promptly.

New GA modifier requirement for UnitedHealthcare commercial plans

Beginning Feb. 1, 2025, we’re updating the Charging members for non-covered services protocol with a new requirement.

Register certain tests for phase 4 of the DEX Z-Codes

Starting Jan. 1, 2025, you can register tests that are in scope for phase 4 of the DEX Z-Codes.

Texas Medicaid: Log ImmTrac2 consent to submit immunization records

Texas Immunization Registry tracks vaccine records for Texas children and helps improve continuity of care.

Notice

We use cookies and similar tools to make your use of this website easy and to keep it working properly. We may share data about you and how you use the site with third parties, such as analytics and marketing partners. Learn more in our Privacy Policy and Terms of Use. By continuing to use the site, you agree to this.

close