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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

LCD guidance for skin substitutes

Medicare does not have an NCD for non-porcine based skin substitutes. View our Medicare Advantage Medical Policy.

Missouri Medicaid: New state communications portal now available

UnitedHealthcare Community Plan and Missouri partner to launch portal, enhancing Medicaid communication.

September monthly overview

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

Texas Medicaid: Log ImmTrac2 consent to submit immunization records

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

Changes to your demographic data submission process on Oct. 1

We’re removing email as an intake option to maintain your demographic data on Oct. 1.

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.