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Resources and tools for providers and health care professionals

We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans. This website is there for what matters to health care professionals like you.

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News

Texas Medicaid: State-required prior authorization updates for medications

Effective Oct. 1, 2024, we’re updating clinical prior authorization criteria guides for certain medications. See our chart.

Prepare for these new Choice Plus network members

The Salvation Army – Southern Territory members have access to the Choice Plus network on June 1, 2024.

The Medicare Advantage Coverage Summary applies to certain wound treatments, skin substitutes

View our Medicare Advantage Coverage Summary for skin substitutes.

Explore the Think Cultural Health training by Oct. 1

Medicaid health care professionals need to take the Think Cultural Health training by Oct. 1.

August monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

New Jersey Medicaid: 2 options for submitting HCBS T1001 claims

Home- and community-based service providers now have 2 options for filing claims for CPT® code T1001. Learn more.