Finding news icon

Monthly overview

Personalized news icon

Get personalized news

News at a glance

Taxonomy code and requirements for Florida Medicaid claims

As of March 1, 2022, the Agency for Health Care Administration requires billing and rendering providers to include certain identifying information on your claims. Ensure your information matches the current provider enrollment information on file with AHCA or your claims will deny beginning Oct. 1, 2022.

September monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

New Texas gold card law streamlines prior authorizations

Texas gold card law exempts some services from prior authorization requirements.

New York Medicaid: Changes to practitioner dispensing billing process

Effective Sept. 1, 2022, Medicaid Managed Care plans will deny payment to pharmacies not enrolled as a pharmacy provider for FFS Medicaid.

Helping children with challenges adapt to school

Children in the TennCare program can get additional services they may need while in a school setting. See how you can help.

Technology-first forum offers staffing shortages solutions

UnitedHealthcare Community Plan of Tennessee is using technology-first efforts to optimize and enhance staffing needs.