January monthly overview
Network News is published twice a month. See updates below.
January 1 publication
Policy and protocol updates
Medical policy updates
Medical policy updates for January 2025 for the following plans: Medicare, Medicaid, Exchanges and commercial.
Reimbursement policy updates
See the latest updates for reimbursement policies.
Specialty Medical Injectable Drug program updates
See the latest updates to requirements for Specialty Medical Injectable Drugs for UnitedHealthcare members.
Pharmacy and clinical updates
Access upcoming new or revised clinical programs and implementation dates for UnitedHealthcare plans.
State news
Arizona Medicaid: Electronic reconsideration submissions required soon
Health care professionals must submit Medicaid claim reconsideration submissions electronically in Arizona.
Kentucky Medicaid: More UnitedHealthcare members may be coming to your practice
Many Kentucky Medicaid members will be transitioning to UnitedHealthcare on Jan. 1, 2025.
Nebraska Medicaid: Explore training sessions to stay up to date on topics important to you
See information on upcoming training and stay up to date on topics that are important to your practice.
Nebraska: Centralized credentialing available soon
UnitedHealthcare Community Plan of Nebraska will soon offer centralized credentialing processing.
New York Medicaid: Doula Services added to Medicaid Managed Care
UnitedHealthcare Community Plan of New York members soon eligible for doula services during and after pregnancy.
New Jersey Medicaid: Coverage updates for behavioral health services
Learn about upcoming behavioral health coverage changes for NJ FamilyCare members enrolled in UHC community plans.
Review Texas Medicaid and Healthcare Partnership CPW program changes
As of Dec. 1, 2024, we won’t require prior authorizations for the Texas Medicaid and Healthcare Partnership Children and Pregnant Women program services.
New genetic and molecular codes added to Texas state prior authorization requirements
We’ve added additional genetic and molecular codes to Texas state's prior authorization requirements.
Gain continuing education credits and discover top UTI strategies for your patients
This activity is provided by Optum Health Education and United Healthcare, Community Health Plan of Texas.
2025 Care Provider Administrative Guide
Your 2025 Care Provider Administrative Guide is ready
View updated 2025 UHC Care Provider Administrative Guide for commercial, Individual Exchange and Medicare Advantage plans.
UHC Provider Portal updates
Avoid UHC Provider Portal lockout: Ensure sign-in includes passkey, authenticator and/or a phone number
Update UHC Provider Portal sign-in to include passkey, authenticator and/or a phone number by March 6 to avoid lockout.
Plan and program updates
Register certain tests for phase 4 of the DEX Z-Codes
As of Jan. 1, 2025, you can register tests that are in scope for phase 4 of the DEX Z-Codes®.
Explore preferred covered alternatives for recently discontinued AstraZeneca products
AstraZeneca has announced the discontinuation of Bydureon BCise and Byetta. Review preferred covered alternatives.
2025 UnitedHealthcare UCard updates
Review upcoming updates to the UnitedHealthcare UCard for Medicare Advantage patients.
The Empire Plan logos have a new look
The Empire Plan, administered by UHC on behalf of the State of New York and its related entities, has updated its logos.
Announcements
Check out the new 2025 Administrative Guide
Read the entire guide, as information changes each year. Changes include policy, plan and product updates.
