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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

November monthly overview

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

Change to UnitedHealthcare Community Plan of New York non-covered codes list

Starting Nov. 1, 2024, UnitedHealthcare Community Plan will add CPT code 82652 to its list of non-covered Medicaid codes.

Specialty Medical Injectable Drug Program updates: November 2024

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

Reimbursement Policy Update Bulletins: November 2024

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

Pharmacy and clinical updates: November 2024

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

Verify address to avoid APWUHP claim appeal delays

Claim appeals addressed incorrectly may be delayed or go unanswered. And APWUHP members to be assigned a new group number.