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Resources and tools for providers and health care professionals

We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

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News

Pharmacy and clinical updates: May 2025

Review the latest drug list and pharmacy updates for May 2025 from UnitedHealthcare.

IFP: Submission of medical record documentation for Surgery of the Hip and Knee

CPT codes 27445, 27447, 27130 and 27132 will have additional documentation requirements, starting Aug. 1 for IFP.

May monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates for April 2025.

Aug. 1: Electronic reconsideration and appeal submissions required

Health care professionals must submit Medicaid medical reconsiderations and appeals electronically in Kansas and Maryland.

Louisiana Peoples Health Prior Authorization Process Change

Starting July 1, Peoples Health is changing the prior authorization submission process for certain Part B drugs.

Maryland Medicaid: New prior authorization requirements for 2 types of NIPT

On June 1, we’ll require prior authorizations for certain types of Non-Invasive Prenatal Testing.