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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

Updates to pharmacy prior authorization and step therapy requirements

Effective Jan. 1, 2025, Optum Rx will manage pharmacy prior authorizations and step therapy requests for Golden Rule plan.

Missouri Medicaid: New state communications portal now available

UnitedHealthcare Community Plan and Missouri partner to launch portal, enhancing Medicaid communication.

Minnesota Medicaid: Your claims may be denied if you’re not enrolled before Oct. 1

See how to avoid claim denials if you’re contracted with a Medicaid MCO or have recently billed as an MCO network provider.

Medicare Advantage: Prior authorization resources for outpatient therapy and chiropractic services

View helpful resources regarding prior authorization for PT, OT, ST and chiropractic services.

Maryland Medicaid: Preventing health care fraud and abuse

See examples of health care fraud and abuse and get contact information for reporting incidents. Reports are confidential.

Annual interim rate letter submission reminder

Submit your new Centers for Medicare & Medicaid Services interim rate letter to ensure correct reimbursement.