March monthly overview
Network News is published twice a month. See updates below.
March 1 publication
Policy and protocol updates
Medical policy updates
Medical policy updates for March 2024 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
Elevated lead levels found in applesauce products
Nationwide recall warns of elevated lead levels in various applesauce products and encourages testing for lead poisoning.
Your network directory information may be inaccurate
We may contact your practice soon to correct these panel status errors.
Nebraska Medicaid: Some telehealth services no longer covered
As of Jan. 1, 2024, telehealth is no longer covered for some Medicaid services. Learn what you must do by April 1.
UnitedHealthcare Provider Portal access changes
Update your One Healthcare ID to maintain portal access
You’ll need to update your One Healthcare ID sign-in method soon to maintain access to the UnitedHealthcare Provider Portal.
Digital updates
No more Inpatient Care Management courtesy faxes
UnitedHealthcare Inpatient Care Management team will no longer send health care professionals courtesy faxes.
Online resources
Streamline prior authorizations with our crosswalk
Use our updated Prior Authorization Crosswalk to help determine next steps.
EZ Claim Pay expansion
EZ Claim Pay available in additional states, starting April 1
Starting April 1, EZ Claim Pay will be available to members in new states. Find out if your state is included.
March 14 publication
State news
Massachusetts: Updated mental health wellness exam coverage
Get updated billing codes for annual mental health wellness exams.
Prioritize kidney health: Schedule evaluations for patients with diabetes and hypertension today
Help ensure patients with diabetes and hypertension are getting all annual kidney health screenings.
Join the Michigan Vaccines for Children Program
Participate in the Michigan Vaccines for Children Program to get Medicaid-eligible kids vaccinated.
New Jersey Medicaid: CPT code change for breast milk storage bags
The breast milk storage bag CPT code K1005 has been replaced with CPT code A4287 as of Jan. 1, 2024.
North Carolina Medicaid: Rate increases
North Carolina changed its Medicaid behavioral health fee schedule. See which services have increased rates.
Texas Medicaid: PSON form must be completed to avoid service delays
To avoid delays in services to Medicaid members, ensure the Practitioner’s Statement of Need (PSON) form is completed.
Surest plan news
Surest out-of-network service area update
Beginning April 1, we’re updating the service area for Surest benefit plans with out-of-network benefits.
Unsure how to work with Surest when it comes to behavioral health? Attend this webinar.
Get all the information you need about Surest benefit plans, including eligibility, claims processing and payments.
Plan and program updates
New ID cards coming for some commercial plan members
On or after April 1, 2024, upon plan renewal, members of some Individual or Group Market health plans will be issued new member ID cards.
Reminder: Balance billing is not permitted
Use our online tools to eliminate balance billing and remain compliant with your UnitedHealthcare Provider Agreement.
Preferred drug changes
Udenyca Onbody is a preferred pegfilgrastim product
Udenyca® Onbody is a preferred pegfilgrastim product for UnitedHealthcare commercial plans.
Women's health month
March is National Women’s Month
This National Women’s Month, uncover some of the leading health issues women face today.
Digital resources
Discover Trellus Elevate: Streamlined IBD management support for you
Trellus ElevateTM works alongside your treatment plan to provide comprehensive, whole person support for your patients with IBD.
Announcements
Change Healthcare update
UnitedHealthcare is working diligently to support providers at this time. For detailed information, sign in to the UnitedHealthcare Provider Portal.
Protect and safeguard your identity
More secure One Healthcare ID sign-in options are here. If you’re a UnitedHealthcare Provider Portal user, take action to help protect your organization and patient data.
Happening now: Medicaid and CHIP eligibility reviews
For more information, visit Medicaid.gov.
Still mailing pre-service appeal submissions?
Providers serving commercial, UHC Medicare Advantage and D-SNP members must submit electronically (optional for non-contracted).
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