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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

NJ Medicaid: Consent form required with sterilization claims

UnitedHealthcare Community Plan of New Jersey requires a completed consent form with any sterilization claim.

Native American Heritage Month

Health screening awareness can support earlier detection in American Indian and Alaska Native communities.

PA Medicaid: Updated reproductive health services guidance

The state may be required to cover medically necessary abortion services and those that don’t qualify for federal funding.

New York Medicaid: New vaccine code added to non-covered list

On Feb. 1, 2027, New York State Medicaid policy will remove coverage for meningococcal pentavalent vaccines.

UnitedHealthcare D-SNPs are closing in Ohio

UHC D-SNP patients may transition to a C-SNP. Provider attestation is required for eligibility.

Michigan: Support timely care for HIDE-SNP members

Use the primary care appointment availability standards to help HIDE-SNP members.

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