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Advance Notification and Prior Authorization requirements

Health care professionals can view the following advance notification and prior authorization information or sign in to the UnitedHealthcare Provider Portal to help determine a member’s coverage.

Manage prior authorizations online

You can use the UnitedHealthcare Provider Portal to verify if a prior authorization is required. Check by member first to get the most accurate response, get a Decision ID and easily submit electronically if a prior authorization is required.  

Sign in Manage prior authorizations online open_in_new

Summary of changes to advance notification and prior authorization requirements

Current requirements by plan type

Choose one of the following relevant tabs to find the plan information you need. 

UnitedHealthcare West

Effective Jan. 1, 2025open_in_new
 

Neighborhood Health Partnership (NHP)

Effective Mar. 1, 2025open_in_new
 

UnitedHealthcare of the River Valley

Effective Mar. 1, 2025open_in_new
 

UnitedHealthcare West

Effective Jan. 1, 2025open_in_new
 

Neighborhood Health Partnership (NHP)

Effective Mar. 1, 2025open_in_new
 

UnitedHealthcare of the River Valley

Effective Mar. 1, 2025open_in_new
 


Previous requirements by plan type

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Behavioral Health Rocky Mountain Health Plans CareAdvantage Value, CareAdvantage Enhanced

Individual Exchange behavioral health

2024

2023