February 10, 2023
New York Medicaid: Referrals no longer needed for most specialties
To help reduce administrative burden for network health care professionals, we’re removing referral requirements for most specialties, effective immediately. This change applies to UnitedHealthcare Community Plan members in New York.
Updated referral requirements
Members will only need a referral from their primary care provider (PCP) to see health care professionals in the following specialty categories:
- Allergy and immunology
- Dermatology
- Endocrinology
- Gastroenterology
- General surgery
- Neurological surgery
- Orthopedic surgery
- Otolaryngology
- Physical medicine and rehabilitation/physiatry
- Plastic surgery
- Podiatry
- Pulmonary medicine
- Sports medicine
- Urology
- Vascular surgery
Referrals will no longer be required for all other specialty types.
Submitting referrals
When referrals are required, you can submit them using the Referrals solution on the UnitedHealthcare Provider Portal. To access the portal, visit UHCprovider.com and select Sign In in the upper-right corner.
Learn more in our interactive guide.
