1295 0 obj The cost of COVID-19 FDA-authorized vaccine serums will initially be paid for by the government. This code should be used for infectious agent antigen detection testing. Health care professionals should not bill members for these claims. Effective Jan. 1, 2022, pharmacies administering the COVID-19 vaccine serum provided by the federal government to Medicare Advantage members should submit claims for administrative services through the pharmacy claims platform. View the full telehealth/telemedicine reimbursement policy. There is no cost to the member for the COVID-19 vaccine, and most plans are covering the administration of the COVID-19 vaccine at no cost share for the member. hbbd```b``kqH+de ,`L R~"I-} vkX D2H`uAjlM@mL,`@g 'm Average UnitedHealth Group hourly pay ranges from approximately $13.00 per hour for Transportation Specialist to $61.00 per hour for Salesforce Developer. Physician/practice staff collect nasal specimen for COVID-19 testing OR physician/practice staff oversees FDA-approved self-administered collection. Bubble plot of hospital rankings by quartiles for rates of surgical site infection after colon surgery by National Healthcare Safety Network . Payment will align with applicable state law. $132.70. In 2023, you pay: 25% of the costs for brand name drugs. This applies to all, Laboratory receives physician order and patient specimen for testing, Laboratory performs testing and reports test results. Effective Jan. 1, 2021 certain UnitedHealthcare Medicare Advantage plans will allow certain Centers for Medicare & Medicaid (CMS)-eligible telehealth services when billed for members at home. If you have a laboratory that is performing the actual COVID-19 test, please use the following preferred codes for the applicable scenarios: Step 2. Please note: For services rendered through Dec. 31, 2021, bill claims for COVID-19 vaccine administration to the applicable Centers for Medicare & Medicaid Services (CMS) Medicare Administrative Contractor (MAC). Employer and Individual health plans, including Student Resources, short-term limited liability (STLD) and Exchange plans. Claims for vaccine administration should be submitted as outlined, based on the members benefit plan. UnitedHealthcare and United Behavioral Health will pay $15.6 million over federal and state investigations into alleged reduced mental health reimbursement rates that resulted in overcharges, according to the Department of Labor.. An investigation by the DOL's Employee Benefits Security Administration and the New York State Attorney General discovered that, going back to about 2013, United . Health (2 days ago) WebHere are some commonly used forms you can download to make it quicker to take action on claims, reimbursements and more. The UHC action follows moves over the past year and a half by insurer Anthem to significantly cut payment rates for many pathology practices across the country and fits within a broader and long-term trend of public and private payors putting downward pressure on lab reimbursement. UnitedHealthcare will pay an administrative fee to the health care professional that covers the vaccine administration and the members observation with no cost share. Reimbursement will be made in accordance with applicable state laws and federal provisions, including the CARES Act and FDA guidance, as outlined below. This code should be used when billing under Medicare Part B for clinical diagnostic laboratory tests that use high-throughput technologies to detect and diagnose COVID-19. But all of the company's contracts with UnitedHealthcare account for $350 million to $400 million, or 10% to 12%, of Mednax's annual revenue. Effective April 15, 2021, UnitedHealthcare will reimburse the appropriate COVID-19 vaccine administration codes listed below for in-network urgent care facilities that are contracted on an all-inclusive Per Case, Per Diem, Per Visit, Per Unit, etc. Need access to the UnitedHealthcare Provider Portal? +In-office visits:If a member has a scheduled office visit with a health care professional and the COVID-19 vaccine is administered during that visit, , charges for the office visit and other services rendered during the visit should be submitted through our standard claims process. endstream If you are a care provider collecting the specimen for the COVID-19 test, please use the following codes for the applicable scenarios: Step 1. This information can also be found on UHCprovider.com. UnitedHealthcare-identified services which can be effectively performed using telehealth. This file reflects Medi-Cal fee-for-service rate policy for the listed procedure codes. UnitedHealthcare Preferred Lab Network providers meet higher standards for access, cost, quality and service standards. These reimbursement rates apply unless otherwise specified by state regulations. Additional benefits or limitations may apply in some states and under some plans during this time. Mastering the Reimbursement Process by Healthcare Management Advisors, Inc.; American Medical Association at AbeBooks.co.uk - ISBN 10: 0899709591 - ISBN 13: 9780899709598 - Amer Medical Assn - 1998 - Softcover . The maximum allowable rate is generally the applicable Medicare rate published by the Centers for Medicare and Medicaid Services (CMS). Health care professionals should use published AMA CPT codes when submitting COVID-19 vaccine administration claims to UnitedHealthcare under the members medical benefit. Newborn Coverage: Level Funded requires an enrollment form from birth for the baby to be added to the coverage. Need access to the UnitedHealthcare Provider Portal? Modifiers 95, GT, GQ or G0 may be appended to telehealth claims reported with POS 02, but the modifiers will be considered informational and not necessary to identify telehealth services. We have sought guidance and input from AMA CPT committee in the development of all billing scenarios. Payment for a 60-minute, 4-unit physical therapy treatment under Medicare part B averages between $97 and $105 on average. Learn how you can manage your costs by getting the most out of your plan benefits. Participating health care professionals may bill the UnitedHealthcare medical benefit through our standard claims process. 2023 UnitedHealthcare | All Rights Reserved, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, telehealth/telemedicine reimbursement policy. Claims for vaccine administration should be submitted as outlined, based on the members benefit plan. Benefits will be adjudicated according to the members health plan. Eligible telehealth services will only be considered for reimbursement under this policy when reported with place of service (POS) 02. %PDF-1.6 % <. Medicaid Providers: UnitedHealthcare will reimburse out-of-network providers for COVID-19 testing-related visits and COVID-19 related treatment or services according to the rates , https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-vaccines/vaccine-billing-reimbursement.html, Health (8 days ago) WebThe UnitedHealthcare Reimbursement Policies are generally based on national reimbursement determinations, along with state government program , https://www.uhcprovider.com/en/policies-protocols/commercial-policies/commercial-reimbursement-policies.html, Health (1 days ago) WebBelow is an sample list of insurance reimbursement rates for one national insurance company, with roughly the same license, LICSW , https://therathink.com/insurance-reimbursement-rates-for-psychotherapy/, Health (Just Now) WebThis comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. Administration fees for in-network providers will be based on contracted rates. This code is used for the laboratory test developed by entities other than the CDC. COVID-19 Vaccine Administration Reimbursement, Roster billing guidance for mass vaccination sites, 2023 UnitedHealthcare | All Rights Reserved, COVID-19 Vaccine Updates for Healthcare Providers, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, UnitedHealthcare roster billing quick reference guide, CMS Enrollment for Administering COVID-19 Vaccine Shots, CMS Medicare Billing for COVID-19 Vaccine Shot Administration, Federal Pharmacy Partnership Strategy for COVID-19 Vaccination, Participating in a multi-TIN mass vaccination site upon registration, Providing services for members covered under a UnitedHealthcare Individual and Group Market fully insured health plan, Each individual TIN should have a separate roster for eligible members. The benefits and processes described on this website apply pursuant tofederal requirements and UnitedHealthcare national policy during the national emergency. Updates and additional information will be posted on this site as quickly as possible when new information is available. Outside of the originating site requirements for plans with the additional benefit, we'll follow the current CMS telehealth code list and billing requirements. Mental Health Reimbursement Ranges Average Payment Per Insurance Company Credentialing Recommendations for New Practices & Established Practices Highest Paying Insurance Companies for Mental Health Which Companies Are The Hardest to Bill Medicare Reimbursement Rates [Search by CPT Code] Tips on Avoiding Low Reimbursement Texas - TX. When billing from a laboratory for the coronavirus test, youll need to remember one CPT code and two ICD-10 codes. Medicaid Providers: UnitedHealthcare will reimburse out-of-network providers for COVID-19 testing-related visits and COVID-19 related treatment or services according to the rates outlined in the Medicaid Fee Schedule. So, if you feel financially slighted by an insurance company, get Word out and start typing! This code is used when billing for lab specimen collection for COVID-19. UnitedHealthcare has terminated other high-cost contracts in recent years, Kahn said. If its the former, bill with ICD-10 code Z20.828. UnitedHealthcare may modify this reimbursement policy from time to time by publishing a new version of the policy on this Website; however, the information presented in this policy is believed to be accurate and current as of the date of publication. Insurance Plans Medicare and Medicaid plans Medicare For people 65+ or those under 65 who qualify due to a disability or special situation Medicaid For people with lower incomes Dual Special Needs Plans (D-SNP) For people who qualify for both Medicaid and Medicare Individuals and familiesSkip to Health insurance Supplemental insurance Dental Vision Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Psychological testing and evaluation by a physician or qualified health care professional, first hour. We understand the concern and see how vaccination administration during a global pandemic carries more of a cost to providers. This and other UnitedHealthcare reimbursement policies may use CPT, CMS or other coding methodologies from time to Uhcprovider.com For Medicaid and other state-specific regulations, please refer to your state-specific website or your states UnitedHealthcare Community Plan website,if applicable. $120.30. Successful contract professional with demonstrated knowledge of payment models and rates, benefit coordination, reimbursement, cost-control incentives, legislative changes, contract preparation . Employer and Individual health plans, including Student Resources, short term limited liability (STLD) and Exchange plans: UnitedHealthcare and self-funded customers cover the administration of COVID-19 FDA-authorized vaccines with no cost share for in- and out-of-network providers, during the national public health emergency period. UnitedHealthcare offers open enrollment for eligible members for 31 days after new business enrollment, and this open enrollment is offered annually. UnitedHealthcare will reimburse administration of FDA-authorized COVID-19 vaccines in accordance with applicable state laws and federal provisions, including the CARES Act and Emergency Use Authorization (EUA) guidance, as outlined below. The proposal envisions spending $100 . 1247 0 obj Use ICD Dx: Z03.818 For suspected exposure to COVID-19, Use ICD Dx: Z20.828 For exposure to confirmed case of COVID-19, DX: Z20.822 Contact with and (suspected) exposure to COVID-19. State-specific rules and other state regulations may apply. <>stream When submitting COVID-19-related claims, follow the coding guidelines and guidance outlined below and review the CDC guideline for ICD-10-CM diagnosis codes. What is medicare reimbursement rate for physical therapy? For services rendered on or before Dec. 31, 2021, administration fees for Medicare plans will be covered by Medicare Fee-for-Service (FFS) and be reimbursed according to CMS published rates for both in-network and out-of-network providers. Specifically, laboratories as they bill for the coronavirus test. UnitedHealthcare pays an administrative fee to the health care professional that covers the vaccine administration and the members observation following the vaccination with no cost share. If a laboratory is performing the actual COVID-19 test, we will also accept the following HCPCS codes for the applicable scenarios: Tim Kaja, Chief Operating Officer, UnitedHealthcare Networks, offers guidance on billing for COVID-19 laboratory tests. Providers do not need to take any action for these adjustments to be processed. In this case, for billing of a coronavirus test from a laboratory. Description: 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC, making use of high throughput technologies as described by CMS-2020-01-R. UBH Fee Schedule 90801Diagnostic Interview MD 155.00 PHD 90.00 MA 75.00 90806 Indiv. United health care provider fee schedule 2022, United health care dental fee schedule 2022, United health care physician fee schedule 2022, United health care allowable fee schedule, Health (1 days ago) WebWe will adjudicate benefits in accordance with the members health plan. This code should be used for clinical diagnostic laboratory tests that use high-throughput amplified probe technologies to detect and diagnose COVID-19. My work since graduation has primarily been in the Acute care and acute rehab settings in response to volatile job markets due to the . Reminder: You should not bill UnitedHealthcare members at the time of service for any costs associated with the COVID-19 vaccine. If no enrollment form is received within the first 31 days, the baby is not added. It is one of the largest insurance companies in the United States. HCPCS U0002: This code is used for the laboratory test developed by entities other than the CDC, in accordance with CDC guidelines. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients, Last update: November 9, 2021, 10:30 a.m. CT. Any COVID-19 vaccine-related claims for Medicare beneficiaries that are submitted to UnitedHealthcare will be denied, and health care professionals will be directed to submit the claims to the MAC. FQHC and RHC Per Visit PPS Rates Home & Community Based Services (HCBS) Hospice Hospital-Based Freestanding Emergency Departments Inpatient Hospital APR-DRG Reimbursement Values Inpatient Hospital LTAC and Rehab Hospitals Per Diem Rates Outpatient Hospital Fee Schedule Multi-Specialty Interdisciplinary Clinic Rates Nursing Facility The fee schedule update, slated to occur in several phases between October 2022 and January 2023, will move physicians on older fee schedules dating back to 2008 to a new 2020 UHC commercial fee schedule . $90-$110. Coding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design and other factors are considered in developing reimbursement policy. Add to Basket Not only does that help your clinicians get a raise, it also increases your business revenue. Therefore, we will adjust claims paid less than $40 between March 15 and June 30, 2021, to reimburse at $40 per administration. You can review the details on reimbursement policy updates through the following: UnitedHealthcare Commercial Plan UnitedHealthcare Commercial Plan Reimbursement Policies Update Bulletin: November 2022 UnitedHealthcare Community Plan No updates for November 2022 UnitedHealthcare Individual Exchange Administration fees for out-of-network providers will be based on CMS published rates. Pharmacists administering the COVID-19 vaccine serum provided by the federal government should submit claims through their pharmacy claims platform. Reminder: At the time of service, you should not ask UnitedHealthcare members for payment of any costs associated with the COVID-19 vaccine. For questions, please contact your local Network Management representative or call the Provider Services number on the back of the members ID card. Medi-Cal Notes to Rates. They are not intended to address every aspect of a reimbursement situation. HCPCS U0001: This code is used for the laboratory test developed by the CDC. https://www.uhc.com/member-resources/forms, Health (4 days ago) WebGet Free United Health Care Medicare Reimbursement Policies information about human disease and pathology, including diagnostics and treatments 2024 Medicare , https://healthmoom.com/united-health-care-medicare-reimbursement-policies/, Health (2 days ago) WebExplore our many individual and family health insurance coverage options, made to support your health at every stage in life. endobj For more information, visit the CMSCOVID-19 Insurers Toolkit. The position of Provider Reimbursement Representative is all about ensuring that contracted ratesSee this and similar jobs on LinkedIn. Depending on whether a claim is for a UnitedHealthcare Medicare Advantage, Community Plan or commercial plan member, those policies may have different effective dates and telehealth requirements for a claim to be reimbursed. Information provided by the American Medical Association (AMA) does not dictate payer reimbursement policy, and does not substitute for the professional judgement of the practitioner performing a procedure, who remains responsible for correct coding. Any charges for S9083 billed on a claim after January 1, 2018, will be denied. COVID-19 Testing in Urgent Care Facilities, COVID-19 Vaccine Administration in Urgent Care Facilities, Virus Detection, Diagnostic (Molecular or Antigen) and Antibody Testing, Specimen Collection for Virus Detection Testing, 2023 UnitedHealthcare | All Rights Reserved, COVID-19 Testing, Treatment, and Reimbursement, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, CMS Emergency Preparedness and Response for Current Emergencies for Coronavirus, We will not adjust rates for payment on claims submitted before the March 26, 2021 date of service, We are following the Centers for Medicare & Medicaid Services (CMS) place of service testing and case rate guidelines, In-network urgent care centers must bill with place of service 20 on a CMS-1500 claims form, For the codes noted below, we will pay 100% of the CMS allowable rate. For UnitedHealthcare Community Plans, well continue to follow state regulations and guidelines regarding telehealth services and reimbursement. Practice sends specimen to approved locations in accordance with CDC guidelines. There is no cost to the member for the COVID-19 vaccine, and most plans are covering the administration of the COVID-19 vaccine at no cost share for the member. The COVID-19 vaccine serum will initially be paid by the U.S. government. UnitedHealthcare has terminated other high-cost contracts in recent years, Kahn said. We are no longer recognizing that distinction. Administration fees for out-of-network providers will be based on CMS published rates. These resources may be helpful as you manage the claim submission and reimbursement process for COVID-19 vaccine administration: The benefits and processes described on this website apply pursuant tofederal requirements and UnitedHealthcare national policy during the national emergency. ICD DX: Z03.818 Suspected exposure to COVID-19 or ICD Dx: Z20.828 Exposure to confirmed case of COVID-19 orDX: Z20.822 Contact with and (suspected) exposure to COVID-19. UnitedHealthcare will pay administration fees at CMS published rates unless otherwise specified. UnitedHealthcare, for its part, said it recently offered to increase reimbursement for COVID-19 testing for some pediatric and family medicine practices that met specific criteria. Need access to the UnitedHealthcare Provider Portal? ], [Tim Kaja, Chief Operating Officer, UnitedHealthcare Networks]. Patient presents for an office visit, urgent care visit or emergency room visit. This code should be used when billing for add-on payment to laboratories for a COVID-19 diagnostic test run on high throughput technology if the laboratory a) completes the test in 2 calendar days or less, and b) completes the majority of their COVID-19 diagnostic tests that use high throughput technology in 2 calendar days or less for all of their patients (not just their Medicare patients) in the previous month. We will adjudicate benefits in accordance with the member's health plan. Use appropriate Office Visit E/M code, If specimen is collected somewhere other than a physician office, bill CPT code 99001 or one of the new COVID-19 specimen collection codes.*. You may have heard previously that there was a distinction as to whether or not the test kit was provided by the CDC or not. You are responsible for submission of accurate claims requests. CPT Code Description. In this edition, we're going to talk specifically about how the primary care physician bills for the coronavirus test when the patient presents in an in-office setting. Need access to the UnitedHealthcare Provider Portal? Benefits will be adjudicated according to the members health plan. We will adjudicate benefits in accordance with the members health plan. 86328 Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (e.g., reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), 86769 Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), CPT code 99072 is not reimbursable unless mandated by state requirements. CACFP Week March 12-18, 2023. The swab and the submission of the coronavirus test is included in the evaluation and management code. Posted 12:59:26 PM. This is applicable only for UnitedHealthcare Individual and Group Market health plans, and only to urgent care facilities on an all-inclusive Per Case, Per Diem, Per Visit, Per Unit, etc. Automatic payments from checking account - You can have your monthly premium payments , https://www.uhc.com/medicare/resources/how-to-pay-your-premium.html, Health (3 days ago) Web96130. %%EOF National reimbursement policies seek to align quality and cost and reduce preventable harm, including healthcare-associated infections (HAIs). Tim Kaja, Chief Operating Officer, UnitedHealthcare Networks, offers guidance on how practices should bill for COVID-19 initial office visits. UnitedHealthcare will reimburse appropriate claims for telehealth services in accordance with the member's benefit plan. You can review the details on reimbursement policy updates through the following: 2023 UnitedHealthcare | All Rights Reserved, 08/2021: Reimbursement Policy Update Bulletins: August 2021, 2021 Policy and Protocol featured articles, 06/2021: How were assessing emergency department facility commercial claims, 06/2021: Medical Policy Update Bulletins: June 2021, 06/2021: Reimbursement Policy Update Bulletins: June 2021, 06/2021: Specialty Medical Injectable Drug Program Updates, 06/2021: Louisiana: Submit a complete inpatient authorization request, 06/2021: Oncology specialty pharmacy requirement delay, 07/2021: New York: Injectable cancer therapy update, 07/2021: Medicaid 3rd Quarter 2021 preferred drug list, 07/2021: Specialty Pharmacy Drug List update, 07/2021: Commercial plan prescription drug list update, 07/2021: Specialty Medical Injectable Drug Program Updates, 07/2021: Medical Policy Update Bulletins: July 2021, 07/2021: Reimbursement Policy Update Bulletins: July 2021, 07/2021: 20212022 Preferred Lab Network expansion, 07/2021: Radiation therapy authorization requirements for Medicaid, 08/2021: Medicaid: New facet injection codes for prior authorization in select states, 08/2021: Specialty Medical Injectable Drug Program Updates, 08/2021: Medical Policy Updates August 2021, 08/2021: New Jersey: Medicaid prior authorization requirements for certain therapy services, 08/2021: New states in-scope for naviHealth post-acute care, 08/2021: Radiation therapy prior authorization for Oxford Health Plan, 08/2021: Kentucky: Prior authorization and site of service update, 08/2021: Maryland: New outpatient injectable drug requirements, 08/2021: New Jersey: Updated codes for early elective delivery prior authorization, 08/2021: West Region: Medical provider remittance advice wont be mailed after October, 08/2021: Electronic payments required for UnitedHealthcare Community Plan of Arizona, 08/2021: August 2021 Network Bulletin overview, 08/2021: Prior authorization code updates for commercial plans, 09/2021: Specialty Medical Injectable Drug Program updates: September 2021, 09/2021: Reimbursement Policy Update Bulletins: September 2021, 09/2021: Medical Policy Update Bulletins: September 2021, 09/2021: September 2021 Network Bulletin overview, 09/2021: Radiology prior authorization updates, 09/2021: Pennsylvania and New Jersey: Hysterectomy prior authorization criteria change, 09/2021: States Added to Medical Review for Self-administered Drugs, 09/2021: Medicare Advantage Service Area Reductions 2022, 09/2021: Southeast and Central: Medical PRAs wont be mailed after November, 09/2021: Mississippi: Electronic payments required for UnitedHealthcare Community Plan, 09/2021: Tufts Freedom Health Plan policy update, 09/2021: Texas: Maternal level-of-care reimbursement, 10/2021: Medical Policy Update Bulletins: October 2021, 10/2021: Reimbursement Policy Update Bulletins: October 2021, 10/2021: Specialty Medical Injectable Drug Program updates: October 2021, 10/2021: Kentucky: Prior authorization and site of service update, 10/2021: Medicare: Changes to outpatient prior authorization process for non-oncology drugs, 10/2021: Medicare: Prior authorization required for oncology anti-emetics, 10/2021: New York: Update to injectable cancer therapy effective date, 10/2021: Medicare: New required Part B step therapy prior authorizations, 10/2021: Specialty pharmacy drug list update, 10/2021: New Jersey: 2022 referral update, 10/2021: 2022 UnitedHealthcare Individual Exchange plans, 10/2021: Policy and protocol updates in 2022, 10/2021: Genetic and molecular testing updates, 10/2021: October 2021 policy and protocol updates overview, 10/2021: Medicaid: Prior authorization changes coming in Texas, 11/2021: 2022 changes to the Medicare Advantage hospice benefit, 11/2021: Medical Policy Update Bulletins: November 2021, 11/2021: Nebraska: Heritage Health Adult benefit expansion, 11/2021: Correction: Pain management and injection prior authorization, 11/2021: Prior authorization and site of service updates, 11/2021: Reimbursement Policy Update Bulletins: November 2021, 11/2021: Changes to electrophysiology implant prior authorization, 11/2021: Specialty pharmacy drug list update, 11/2021: New health plan for Massachusetts dual-eligible members, 11/2021: Medicare and D-SNP: Prior authorization and site of service expansion, 11/2021: Prior authorization changes for private duty nursing, 11/2021: Arizona: Changes to facet injection codes for prior authorization, 11/2021: Commercial plan 2022 prescription drug list update, 11/2021: Specialty Medical Injectable Drug Program updates: November 2021, 11/2021: UnitedHealthcare committed to price transparency and disclosure, 11/2021: Cardiac event monitoring prior authorization change, 11/2021: Northeast: Medical PRAs going paperless in February, 11/2021: Medicare new prior authorization requirement that includes clinical submission, 11/2021: November 2021 policy and protocol overview, 11/2021: New Medicare Advantage plans for 2022, 11/2021: Appeal decision letters wont be mailed in 2022, UnitedHealthcare Community Plan Reimbursement Policy Update Bulletin: November 2021, 12/2021: Reimbursement Policy Update Bulletins: December 2021, 12/2021: Medical Policy Update Bulletins: December 2021, 12/2021: Specialty Medical Injectable Drug program updates: December 2021, 12/2021: Exchange plans: Prior authorization not required for outpatient therapy services, 12/2021: Radiology prior authorization update delay, 12/2021: District of Columbia: Electronic payments required for UnitedHealthcare Community Plan, 12/2021: Massachusetts: Prior authorization and site of service update, 12/2021:Texas: Medicaid prior authorization changes for 2022, 12/2021: New prior authorization requirements for Individual Exchange plans, 12/2021: December 2021 policy and protocol updates overview, Reimbursement Policy Update Bulletin: December 2021, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, UnitedHealthcare Commercial Plan Reimbursement Policies Update Bulletin: August 2021, UnitedHealthcare Community Plan Reimbursement Policies Update Bulletin: August 2021, UnitedHealthcare Individual Exchange Plan Reimbursement Policies Update Bulletin: August 2021, UnitedHealthcare Medicare Advantage Reimbursement Policy Update Bulletin: August 2021.
