Network News is a UnitedHealthcare online and email newsletter for health care professionals. News articles contain new and updated information on payer topics including medical policies, codes, prior ...
To comply with CMS and/or American Medical Association procedure code updates, effective Jan. 1, 2027, prior authorization will be needed for the following HCPCS code when administered in outpatient ...
Effective Jan. 1, 2027, for some UnitedHealthcare commercial and Individual and Family Exchange plans, we’ll require prior authorization for some new procedure codes that the American Medical ...
For patients with autism, ADHD and other neurological differences, inclusive care starts with adapting the care experience to meet individual neurodivergent needs. This Disability Awareness Month, we ...
Over the past few years, we’ve shared and implemented our plans to transition to digital transactions. This helps ensure you get the answers you need more quickly. As part of that effort, as of Dec. 1 ...
To help simplify access to care and reduce complexity, beginning Oct. 1, 2026, we’ll no longer request advance notification for select gastroenterology endoscopy (GI) services and end all GI ...
Beginning later this year, we'll deny claims with incorrect or missing taxonomy codes. This requirement follows New Mexico Health Care Authority (HCA) fee-for-service billing practices for Turquoise ...
As of July 1, 2026, the Centers for Medicare & Medicaid Services (CMS) launched the Medicare GLP-1 Bridge program. This short-term demonstration program: Expands access to select GLP-1 medications ...
Choose a health plan below to review the latest reimbursement policy updates.
You can access the Medical Benefit Specialty Drug Update Bulletin for the latest updates on drugs added to review at launch, program requirements and policies. Click through for complete details.
Soon, states will implement requirements that may require some Dual Special Needs Plan (D-SNP) members to have their Medicare and Medicaid coverage with the same health plan. D-SNP alignment is more ...
Network News is published monthly. See updates below.
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