Read Full Update June monthly overview
AI Summary
This is UnitedHealthcare's June 2024 monthly newsletter containing multiple policy updates including prior authorization changes, state-specific billing reminders, and portal updates. Key changes include new oncology prior authorization requirements for Surest plans effective July 1, 2024, and various state-specific Medicaid billing updates.
Action Required
By July 1, 2024: Billing team must switch oncology prior authorization submissions for Surest and Surest Flex plans to Optum CGP platform instead of current system. Update provider portal access credentials by summer 2024 per security requirements. Review state-specific updates for applicable locations including North Carolina EP modifier requirements for EPSDT services and New Jersey nutritionist service frequency limits.
Plan Types
Medicare Advantage, Traditional Medicare, Medicaid, Commercial, Exchange
States
CO, MN, VA, NJ, NC, TX, FL, OH, WA
Specialties
oncology, family-medicine, internal-medicine