Review these bulletins to stay up to date on news, policy changes and other issues important to your practice.
For Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, Utilization Review Guidelines and corresponding update bulletins for UnitedHealthcare Community Plan, visit the Policies and Protocols section.
Last Published 07.01.2022
This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Community Plan Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines (CDG), and/or Utilization Review Guidelines (URG).
Last Published 08.01.2022
This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Community Plan Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines (CDG), and/or Utilization Review Guidelines (URG).
Last Published 09.01.2022
This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Community Plan Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines (CDG), and/or Utilization Review Guidelines (URG).
Last Published 09.01.2022
A listing of the Medical Policy Update Bulletins for the past two rolling years.
The UnitedHealthcare Community Plan Case Management program is a holistic approach to care for members with complex needs, especially those with chronic conditions. The goal is to provide our community members with the resources necessary to maintain the highest functional status possible.
The UnitedHealthcare Dual Complete® plan will now pair our members with a Navigator. This is a go-to-person that provides support and helps them every step of the way on their health journey in New Jersey.
Effective June 1, 2020, New Jersey began enforcing new data reporting requirements as condition of Medicaid payment for prenatal care
Participating UnitedHealthcare Community Plan of New Jersey providers must obtain hospital privileges at a participating New Jersey hospital
UnitedHealthcare Dual Complete® One offers new disease management program in New Jersey for end-stage renal disease.
Refer all members to in-network labs to help avoid any possible claim denials.
UnitedHealthcare would like to emphasize to care providers the appropriate use of antibiotics in children and adults with upper respiratory tract infections.
Help achieve better health care outcomes for Children and adults with asthma.
UnitedHealthcare Community Plan’s members have a right to receive care that is culturally appropriate and respects their cultural and ethnic background and origins.
Office-based addictions treatment (OBAT) is the use of medications in combination with navigator services to coordinate counseling and behavioral therapies to treat both substance use disorder (SUD) and opioid use disorder (OUD).
UnitedHealthcare Community Plan has appointment availability requirements for primary care providers (PCPs) and specialists.
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services are an important part of preventive care for children.
We believe members who have positive experiences are more likely to follow medical advice and treatment plans from their care provider.
Early Elective Delivery Reimbursement Changes are Effective July 1, 2020.
The UnitedHealthcare Dual Complete® plan is available for individuals who qualify for both Medicare and Medicaid.
Visit the Payment Policy Notifications page to view updates.
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Last Published 01.01.2022
Specialty Drug Program Updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Individual & Family Plan
Last Published 02.01.2022
Specialty Drug Program Updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Individual & Family Plan
Last Published 03.01.2022
Specialty Drug Program Updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Individual & Family Plans
Last Published 04.01.2022
Specialty Drug Program Updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Individual & Family Plans
Last Published 05.01.2022
Specialty Drug Program Updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Individual & Family Plan
Last Published 06.01.2022
Specialty Drug Program Updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Individual & Family Plans
Last Published 07.01.2022
Specialty Drug Program Updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Individual & Family Plans
Last Published 08.01.2022
Specialty Drug Program Updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Individual & Family Plans
Last Published 09.01.2022
Specialty Drug Program Updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Individual & Family Plans