Updated 2025–2027 credentialing plan effective in March

Starting March 1, 2025, the UnitedHealthcare Credentialing plan will be available for your review. We review and update our credentialing plan every 2 years. Our goal is to remain compliant with state and federal regulatory requirements and accreditation requirements of the National Committee for Quality Assurance (NCQA).

What this means for you

We’ve made a number of updates to the 2025–2027 UnitedHealthcare Credentialing Plan. Please review the new plan updates, which go into effect March 1, 2025.

Important updates for 2025–2027 include:

Credentialing is required if you’re a network covering practitioner (e.g., locum tenens) or telemedicine practitioner and if you have signed a participation agreement with UnitedHealthcare
Updated credentialing time frames to meet new NCQA requirements, including the following:
- Application/attestation should not be more than 180 days old
- Primary source verifications should not be more than 120 days old
Added requirement to verify state Medicaid exclusions, as applicable
Updated the wording “credentialing system controls” to “credentialing information integrity” in Section 11 of Delegated Credentialing within the plan