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Monthly overview

View recent updates on policy and protocol announcements, drug and pharmacy, prior authorization, code changes, provider reimbursement, medical policy alerts and more. 

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What's new in Network News

Texas: Hormone drug prior authorization and clinical criteria updates

Starting March 1, 2024, we’re updating prior authorization and clinical criteria requirements for some hormone medications.

Improvements to prior authorization process for sacral nerve stimulation for urinary and fecal indications

Starting Oct. 1, we’re improving the prior authorization process for SNS for urinary and fecal indications.

September monthly overview

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

New GA modifier requirement for UnitedHealthcare commercial plans

Beginning Feb. 1, 2025, we’re updating the Charging members for non-covered services protocol with a new requirement.

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.