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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

July monthly overview

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

Reimbursement Policy Update Bulletins: July 2024

You can review the details on July's reimbursement policy updates through the Commercial, Medicare Advantage, Medicaid and Exchange plan bulletins.

Medical Policy Updates: July 2024

Medical policy updates for July 2024 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.

Pharmacy and clinical updates: July 2024

Review the latest drug list and pharmacy updates from UnitedHealthcare.

Specialty Medical Injectable Drug Program updates: July 2024

Specialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Exchange plans for July 2024.

Virgin Islands: Benefit update for certain Medicare Advantage plan members

Effective June 1, 2024, clinical laboratory services will no longer apply to a member’s annual deductible. Learn more.