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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

Review Texas Medicaid and Healthcare Partnership CPW program changes

On Dec. 1, we won’t require prior authorizations for the Texas Medicaid and Healthcare Partnership Children and Pregnant Women program services.

Virginia Medicaid: Complete an OBRAF to earn a $100 incentive

Earn a $100 bonus for completing an Obstetrical Risk Assessment Form within 10 days of the member’s visit.

November monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates for November 2024.

Dec. 1: Electronic reconsideration and appeal submissions required

Health care professionals must submit Medicaid medical reconsiderations and appeals electronically in Louisiana and Pennsylvania.

Connect your Medicaid and Medicare patients with SDOH support

Social drivers of health can directly affect patients’ health outcomes. Let’s help disrupt the cycle. See how.

New York Medicaid: Enroll with state to avoid claim denials

UnitedHealthcare will deny claims from health care providers who aren’t enrolled with the state Medicaid program. See why.