What's new in Network News
March 28, 2025
New ORP claim edits for UnitedHealthcare Community Plan of Ohio
New ORP claim edits start April 1, 2025. Include NPI to avoid Y42 denials.
March 27, 2025
Invite your patients to participate in the VOICES of Black Women health study
You can help eliminate gaps in health care by inviting eligible patients to participate in the VOICES of Black Women study.
March 25, 2025
UnitedHealthcare Outpatient Procedure Grouper Exhibit annual reimbursement update
Review the 2025 Outpatient Procedure Grouper (OPG) Exhibit for annual changes to reimbursement.
March 24, 2025
Rhode Island Medicaid: OAE testing is not medically necessary for routine hearing screening
Use otoacoustic emissions (OAE) testing only for infants, children under age 4 and some adult populations. Learn why.
March 21, 2025
Ensure PCP assignment to avoid reimbursement denial
UHCCP members must visit a PCP in the same practice (same Tax ID) as the PCP listed on their ID card.
March 21, 2025
Texas Medicaid: State-required medication prior authorization updates
Effective May 1, 2025, we’re updating Texas Medicaid clinical prior authorization criteria for certain medications.