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.
Many adults choose to go to the doctor only when they are ill, but we encourage all providers to use those appointments as opportunities to offer unrelated preventive services to our members.
At UnitedHealthcare Community Plan (UHCCP), we would like to sincerely thank all of the provider offices who’ve recently joined and assisted us in bringing our non-compliant members up-to-date with their EPSDT screenings.
An EPSDT screening is complete when the seven components have been finished.
As you well know, the most effective strategy for preventing influenza is an annual vaccination.
The Centers for Medicare & Medicaid Services (CMS) has identified likely medically unnecessary use of drugs, such as antibiotics and antifungals1, that are being prescribed for topical use to be administered as a foot bath.
More than 20% of the children in Tennessee on Medicaid failed to receive their annual Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) screenings last year.
The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit of Medicaid was designed to provide comprehensive and preventive health care services for children from birth through age 20.
Invasive pneumococcal disease, caused by streptococcus pneumoniae (pneumococcus), remains a leading cause of serious illness in children and adults worldwide.
The UnitedHealthcare Dual Complete® plan will now pair our members with a Navigator.
UnitedHealthcare Community Plan’s (UHC) goal is to ensure that the individuals we serve are receiving services timely, based on their Person-Centered Support Plan (PCSP).
United Healthcare Community Plan wants you to get the best care and service. That’s why we have a Quality Management (QM) program. Our QM program helps us learn what we can do better. Then we use it to improve. Our QM program has several member health programs.
TennCare pharmacy benefits are managed by TennCare and administered by OptumRx, the TennCare pharmacy benefit manager (PBM). TennCare, in conjunction with OptumRx, manages the medication formulary, also known as the Preferred Drug List (PDL).
Practice Matters 2021 1st quarter
Practice Matters 2021 1st quarter
Practice Matters 2021 1st quarter
Practice Matters 2021 1st quarter
Practice Matters 2021 1st quarter
Practice Matters 2021 1st quarter
Practice Matters 2021 1st quarter
Visit the Payment Policy Notifications page to view updates.