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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

September monthly overview

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

Pharmacy and clinical updates: September 2024

Review the latest drug list and pharmacy updates for September 2024 from UnitedHealthcare.

Specialty Medical Injectable Drug Program updates: September 2024

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

Reimbursement Policy Update Bulletins: September 2024

You can review the details on reimbursement policy updates for September 2024 through the Commercial, Medicare Advantage, Medicaid and Exchange plan bulletins.

Medical Policy Updates: September 2024

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

New Jersey: Be prepared for random medical record reviews

Annual medical record reviews will soon be underway with UnitedHealthcare Community Plan of New Jersey care providers.