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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

December monthly overview

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

Kentucky: More Medicaid members will transition to UnitedHealthcare

Many Kentucky Medicaid members will be transitioning to UnitedHealthcare on Jan. 1, 2025.

2025 UnitedHealthcare UCard updates

Review upcoming updates to the UnitedHealthcare UCard for Medicare Advantage patients.

Nebraska: Centralized credentialing available soon

UnitedHealthcare Community Plan of Nebraska will soon offer centralized credentialing processing.

Register certain tests for phase 4 of the DEX Z-Codes

Starting Jan. 1, 2025, you can register tests that are in scope for phase 4 of the DEX Z-Codes.

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.