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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

New daily and monthly Payment Summary reports

Get a consolidated view of UnitedHealthcare payments based on your payment preference settings.

Medicaid: New eligibility requirements coming in 2027

Understand upcoming Medicaid eligibility changes and how to support impacted members.

New York State Medicaid: Provider revalidation requirements

Review the updated revalidation schedule and online submission requirements.

Florida Medicaid: Get prepared for EPNA audits

Prepare for EPNA calls and visits by reviewing appointment access, Medicaid participation and directory accuracy.

Jan. 1: Submit post-service appeals electronically

Health care professionals are required to submit Medicaid post-service appeals electronically in Colorado and Missouri.

Ohio Medicaid: Include an NPI to avoid denials and delays

Starting Jan. 1, 2027, federal ORP regulation requires claims for items and services to include an NPI.

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