Delegated Providers

Learn more about the tools and best practices designed for delegated providers.

Access to Care Training – Department of Managed Care Non-Emergency Access Regulations

Delegation Oversight – Preferred vs. In-Network Providers

Delegation Oversight – Reopening in the Appeals Process

Facility Denial Letter – Best Practice

Inpatient Concurrent Review Documentation Quick Reference Guide

Medical Director Determination Documentation Quick Reference Guide

Member Initiated Organization Determinations (MIODs) Overview

Mental Health Parity Training for Delegated Providers

Notice of Medicare Non-Coverage (NOMNC) and QIO

Special Needs Plans (SNP) Annual Face-to-Face Encounters

Special Needs Plan (SNP) Model of Care Training for Providers

UnitedHealthcare Appeals Process – Delegate Responsibilities

UnitedHealthcare’s Language Assistance Program (LAP)

Updated Clinical Delegation Oversight Assessment Process