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united healthcare brand guidelines

UnitedHealthcare Community & State proudly serves nearly six million Medicaid members, including more than 2.7 million children, in 31 states, plus Washington D.C. UnitedHealthcare is a division of … The background of the card should be white with colored letters for easy reading. eric.hausman@uhg.com. United Healthcare requires adherence and will only cover a medically necessary PAP device beyond the first three months of therapy when PAP use is greater than or equal to 4 hours per night on 70% of nights during a consecutive 30 day period during the first three months of therapy. Strengthening the Patient-Physician Relationship, https://www.unitedhealthgroup.com/terms-of-use. For questions, please contact your local Network Management representative or call the Provider Services number on the back of the member’s ID card. Pick the link below for the RSS feed for the business area you are interested in following. (877) 636-9718, Media Contact:  Optum News However, the prescription drugs covered vary from plan to plan. Listed in the UnitedHealthcare Newsroom, Media Requests: This guideline outlines the general and specific treatment recommendations for patients with Alzheimer’s disease and other dementias. (877) 636-9718 All rights reserved. These policies and guidelines are provided for informational purposes, and do not constitute medical advice. This guideline outlines recommendations to address the practical management of individuals with high blood cholesterol and related disorders. This guideline provides an evidence-based approach to infertility management, infertility surgery, and the use of single embryo transfer in addition to describing the limitations of and recommendations for infertility treatment. The Basics of Your ID Card Located on the front of the card is the United Healthcare brand name (except on the HP, Medica and Sierra products) to ensure you are reading the correct card. Ph: (952) 936-3963 Coding Corner Can Help. Updated Clinical Practice Guidelines for Hawaii, Community Plan Reimbursement Policies of Hawaii, Idaho UnitedHealthcare Medicare Advantage Plans, Illinois UnitedHealthcare Medicare Advantage Plans, Community Plan Reimbursement Policies of Iowa, Kansas Erickson Advantage® Freedom/Signature Plans, Kansas UnitedHealthcare® MedicareDirect (PFFS), Community Plan Reimbursement Policies of Kansas, Kentucky UnitedHealthcare® MedicareDirect (PFFS), Community Plan Reimbursement Policies of Kentucky, Community Plan of Kentucky Medical & Drug Policies and Coverage Determination Guidelines, Community Plan Reimbursement Policies of Louisiana, Maryland Erickson Advantage® Freedom/Signature Plans. Make sure your prescriptions are covered in each plan’s list of covered medications. Press agencies and journalists using the Materials posted on this webpage must observe the following guidelines and restrictions: Please contact us if you have questions regarding the use of this content. Vendors and other third parties must obtain prior permission to utilize the Materials on this page, or any other intellectual property, per the terms of their agreement with UnitedHealth Group and in accordance with UnitedHealth Group policy.  UnitedHealthcare News Please use the correct trademark symbol (® or TM as applicable) immediately following the first or most prominent use of any trademark or logo. Please follow the Centers for Disease Control and Prevention’s (CDC) guidelines before using your benefits. The Federal government sets guidelines for what medications Medicare Part D plans must cover. We’re Your Partner to Connect with Members benefits and services, HEDIS® Measure: Appropriate Testing for Children with Pharyngitis, Community Plan Reimbursement Policies of Pennsylvania, Rhode Island AARP® Medicare Advantage Plans, Rhode Island Group Medicare Advantage Plans, Community Plan Reimbursement Policies of Rhode Island, South Carolina UnitedHealthcare Medicare Advantage Plans, South Dakota Group Medicare Advantage Plans, South Dakota AARP® Medicare Advantage Plans, TN UnitedHealthcare Medicare Advantage Plans, Fraud, Waste, and Abuse Update – Foot Baths and Prescription Anti-Infective Agents, Healthcare Professional Community Engagement Partnership, UnitedHealthcare Dual Complete – Medicare Advantage Special Needs Plan (DSNP) and UnitedHealthcare Community Plan – TennCare, Community Plan Reimbursement Policies of Tennessee, Tennessee Episodes of Care / Patient Centered Medical Home / TN Health Link / Medication Therapy Management, TX UnitedHealthcare® Chronic Complete Special Needs Plan, TX Erickson Advantage® Freedom/Signature Plans, Texas UnitedHealthcare Medicare Advantage Plans, TX UnitedHealthcare® MedicareDirect (PFFS), Making the Most of Life While Living With Complex Care Needs, Messages from the Texas Credentialing Alliance, Messages from the Texas Health and Human Services Commission, Community Plan Reimbursement Policies of Texas, Reference Guides and Value-Added Services, Utah UnitedHealthcare Medicare Advantage Plans, Utah UnitedHealthcare Medicare Advantage Assist plans, VT UnitedHealthcare® MedicareDirect (PFFS), Vermont UnitedHealthcare Medicare Advantage Plans, Virginia Erickson Advantage® Freedom/Signature Plans, Virginia UnitedHealthcare® MedicareDirect (PFFS), VA UnitedHealthcare Medicare Advantage Plans, Resources to Help You Prepare for a Challenging Influenza Season, Community & State Plan: 2020 Transportation Benefit Information, Initiation and Engagement of Alcohol and Other Drug Dependence Treatment, Medication Reconciliation Post-Discharge (MRP), UnitedHealthcare Dual Complete: Virginia Members Matched with a Navigator, Community Plan Reimbursement Policies of Virginia, Washington AARP® Medicare Advantage Plans, Washington Group Medicare Advantage Plans, UnitedHealthcare Dual Complete: Washington Members Matched With a Navigator, Pregnancy Intention Screening: Family Planning for Social Change, Community Plan Reimbursement Policies of Washington, West Virginia AARP® Medicare Advantage Plans, West Virginia Group Medicare Advantage Plans, Wisconsin UnitedHealthcare Medicare Advantage Plans, Wisconsin UnitedHealthcare Medicare Advantage Assist plans, Community Plan Reimbursement Policies of Wisconsin, Wyoming UnitedHealthcare® MedicareDirect (PFFS), U.S. Virgin Islands Commercial Health Plans, UnitedHealthcare Commercial Medical & Drug Policies and Coverage Determination Guidelines, UnitedHealthcare Commercial Reimbursement Policies, UnitedHealthcare West Benefit Interpretation Policies, UnitedHealthcare West Medical Management Guidelines, UnitedHealthcare Value & Balance Exchange Medical & Drug Policies and Coverage Determination Guidelines, Reimbursement Policies for UnitedHealthcare Value & Balance Exchange Plans, Medicare Advantage Reimbursement Policies, Community Plan Drug Lists for Limited Supplier Protocol, Community Plan Care Provider Manuals for Medicaid Plans By State, Welcome to UnitedHealthcare 2020 UnitedHealthcare Administrative Guide, Manuals and Benefit Plans Referenced in the Guide, Verifying Eligibility, Benefits and Your Network Participation, Network Participating Care Provider Responsibilities, Cooperation with Quality Improvement and Patient Safety Activities, Notification of Practice or Demographic Changes (Applies to Commercial Benefit Plans in California), Administrative Terminations for Inactivity, Coverage Summaries and Policy Guidelines for MA Members, Dual Special Needs Plans Managed by Optum, Free Medicare Education for Your Staff and Patients, Non-Participating Care Provider Referrals (All Commercial Plans), Medicare Advantage Referral Required Plans, Benefit Plans Not Subject to this Protocol, Advance Notification/Prior Authorization Requirements, Advance Notification/Prior Authorization List, Facilities: Standard Notification Requirements, How to Submit Advance or Admission Notifications/ Prior Authorizations, Updating Advance Notification or Prior Authorization Requests, Coverage and Utilization Management Decisions, Clinical Trials, Experimental or Investigational Services, Medical Management Denials/Adverse Determinations, Outpatient Cardiology Notification/Prior Authorization Protocol, Outpatient Radiology Notification/Prior Authorization Protocol, Specialty Pharmacy Requirements for Certain Specialty Medications (Commercial Plans - Not Applicable to UnitedHealthcare West) - Chapter 7, 2020 UnitedHealthcare Administrative Guide, Non-Emergent Ambulance Ground Transportation, Medicare Advantage Claim Processing Requirements, Pass-through Billing/CLIA Requirements/Reimbursement Policy, Special Reporting Requirements for Certain Claim Types, Claim Reconsideration, Appeals Process and Resolving Disputes, Medical Records Standards and Requirements, Commercial Health Services, Wellness and Behavioral Health Programs, Commercial and Medicare Advantage Behavioral Health Information, UnitedHealth Premium Designation Program (Commercial Plans), Star Ratings for MA and Prescription Drug Plans, Credentialing/Profile Reporting Requirements, Care Provider Rights Related to the Credentialing Process, Credentialing Committee Decision Making Process (Non-Delegated), Medicare Compliance Expectations and Training, Examples of Potentially Fraudulent, Wasteful, or Abusive Billing (not an inclusive list), Reporting Potential Fraud, Waste or Abuse to UnitedHealthcare, How to Contact All Savers, All Savers Supplement, How to Contact Us, Capitation and/or Delegation, Verifying Eligibility and Effective Dates, Capitation and/or Delegation, Commercial Eligibility, Enrollment, Transfers and Disenrollment, Capitation and/or Delegation, Medicare Advantage (MA) Enrollment, Eligibility and Transfers, and Disenrollment, Capitation and/or Delegation, Authorization Guarantee, Capitation and/or Delegation, Care Provider Responsibilities, Capitation and/or Delegation, Delegated Credentialing Program, Capitation and/or Delegation, Medical Management, Capitation and/or Delegation, Pharmacy, Capitation and/or Delegation Supplement, Facilities, Capitation and/or Delegation Supplement, Claims Processes, Capitation and/or Delegation Supplement, Claims Disputes and Appeals, Capitation and/or Delegation Supplement, Capitation Reports and Payments, Capitation and/or Delegation Supplement, Contractual and Financial Responsibilities, Capitation and/or Delegation Supplement, CMS Premiums and Adjustments, Capitation and/or Delegation Supplement, Delegate Performance Management Program, Capitation and/or Delegation Supplement, Appeals and Grievances, Capitation and/or Delegation Supplement, Confidentiality of Protected Health Information (PHI), Member Rights and Responsibilities, Medica, Documentation and Confidentiality of Medical Records, Provider Reporting Responsibilities, Medica, Discharge of a Member from Participating Provider's Care, Quality Management and Health Management Programs, Care Provider Responsibilities and Standards, Oxford, Using Non-Participating Health Care Providers or Facilities, Oxford, Radiology, Cardiology and Radiation Therapy Procedures, Claims Recovery, Appeals, Disputes and Grievances, Case Management and Disease Management Programs, Medical and Administrative Policy Updates, Oxford, Confidentiality of Protected Health Information (PHI), Preferred Care Partners, Prior Authorizations and Referrals, Preferred Care Partners, Clinical Coverage Review, Preferred Care Partners, Appeal & Reconsideration Processes, Preferred Care Partners, Documentation and Confidentiality of Medical Records, Preferred Care Partners, Case Management and Disease Management Program Information, Preferred Care Partners, Special Needs Plans, Preferred Care Partners, Care Provider Reporting Responsibilities, Preferred Care Partners, UnitedHealthcare West Information Regarding our Care Provider Website, How to Contact UnitedHealthcare West Resources, Care Provider Responsibilities, UnitedHealthcare West, Utilization and Medical Management, UnitedHealthcare West, Hospital Notifications, UnitedHealthcare West, Care Provider Claims Appeals and Disputes, UnitedHealthcare West, California Language Assistance Program (California Commercial Plans), UnitedHealthcare West, Member Complaints & Grievances, UnitedHealthcare West, California Quality Improvement Committee, UnitedHealthcare West, Member Complaints & Grievances, UnitedHealthOne, Home Health and SNF High-Performing Provider Initiative Lists, Quality-Based Physician Incentive Program (QPIP), UnitedHealthcare Capitation, Claim, Quality, Roster and Profile Reports, UnitedHealthcare West Capitation, Settlement, Shared Risk Claims, Eligibility, and Patient Management Reports, Acute Myocardial Infarction with ST Elevation – Clinical Guideline, Acute Myocardial Infarction without ST Elevation – Clinical Guideline, Attention Deficit/Hyperactivity Disorder (ADHD) – Clinical Guideline, Cardiology and Radiology Imaging Guidelines - Effective Nov. 15, 2020 - UnitedHealthcare Medicare Advantage Plans, Cardiovascular Disease: Lifestyle Management to Reduce Cardiovascular Risk – Clinical Guideline, Cardiovascular Disease: Primary Prevention – Clinical Guideline, Chimeric Antigen Receptor T-cell Therapy – Clinical Guideline, Cholesterol Management – Clinical Guideline, Chronic Obstructive Lung Disease – Clinical Guideline, Fertility Solutions Medical Necessity Clinical Guideline: Infertility, Human Immunodeficiency Virus (HIV) – Clinical Guideline, Mechanical Circulatory Support Devices (MCSD) – Clinical Guideline, Preventive Pediatric Health Care Screening – Clinical Guideline, Radiology & Cardiology Guidelines - Effective Nov. 15, 2020 - UnitedHealthcare Commercial Plans, Radiology & Cardiology Guidelines - Effective Nov. 15, 2020 - UnitedHealthcare Community Plans, Stable Ischemic Heart Disease – Clinical Guideline, Transplant Review Guidelines: Hematopoietic Stem Cell Transplantation, Transplant Review Guidelines: Solid Organ Transplantation, Sepsis Clinical Guidelines Frequently Asked Questions.

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