To remain consistent with New York Medicaid’s fee schedule, starting Feb. 1, 2027, UnitedHealthcare Community Plan of New York will add the Meningococcal pentavalent vaccine code 90624 to its ...
UnitedHealthcare will no longer offer Dual Special Needs Plans (D-SNPs) in Ohio. Patients currently enrolled in a D-SNP must select a new plan during this year’s annual enrollment period. Some of ...
Beginning Jan. 1, 2027, we’re making prescription drug list (PDL) updates for UnitedHealthcare Individual Exchange plans, also referred to as UnitedHealthcare Individual and Family ACA Marketplace ...
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 ...
Starting Dec. 1, 2026, UnitedHealthcare Community Plan of New York, in alignment with the New York State Medicaid policy, will add the Physical and Occupational Therapy evaluation codes 97161-97168 to ...
UnitedHealthcare Community Plan of New Jersey will conduct annual reviews of network care providers’ medical records. These medical record audits are contractually required to help ensure quality ...
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 ...
You can schedule the 2-year well-child visit before the child’s second birthday for UnitedHealthcare Community Plan of North Carolina members. The visit is fully reimbursable and does not need to ...
Medical policy updates for August 2026 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.
Review the latest pharmacy, clinical and prior authorization 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 ...
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