Prior Authorization and Notification

Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.

The oncology prior authorization and notification programs aim to increase quality and patient safety by increasing compliance with evidence-based standards of care. View the following links for more information and resources on the specific programs.

UnitedHealthcare Community Plan - Senior Care Options

• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective March 1, 2025open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective February 1, 2025open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective December 1, 2024open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective November 1, 2024open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective October 1, 2024open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective July 1, 2024open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective June 1, 2024open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective May 1, 2024open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective April 1, 2024open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective Mar. 1, 2024open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective Jan. 1, 2024open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective Nov. 1, 2023open_in_new
  
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective Oct. 1, 2023open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective Aug. 1, 2023open_in_new
• UnitedHealthcare Massachusetts Senior Care Options Prior Authorization Requirements - Effective Jul. 1, 2023open_in_new

UnitedHealthcare Community Plan - OneCare

• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective March 1, 2025open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective February 1, 2025open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective December 1, 2024open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective November 1, 2024open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective October 1, 2024open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective July 1, 2024open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective June 1, 2024open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective May 1, 2024open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective Mar. 1, 2024open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective Nov. 1, 2023open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective Oct.. 1, 2023open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective Sept. 1, 2023open_in_new
• UnitedHealthcare Massachusetts OneCare Prior Authorization Requirements - Effective Aug. 1, 2023open_in_new

• Pharmacy Drug-Specific Paper Prior Authorization Forms 
  

The radiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for diagnostic imaging procedures. They help reduce risks to patients and improve the quality, safety and appropriate use of imaging procedures.