Medicare AdvantageAdministrativeHigh impact
Massachusetts D-SNP updates: Senior Care Options, One Care members
UnitedHealthcare·MA·Network News
Effective date
Jan 1, 2026
We identified it
Jun 13, 2026
Summary
Massachusetts D-SNP plans now use integrated UCards with new policy numbers and subscriber IDs effective January 1, 2026. All prior authorizations under old IDs expired December 31, 2025, and claims must be split for services spanning December 2025-January 2026 using appropriate old/new subscriber IDs.
Action Required
Immediately: Billing team must update workflows for Massachusetts D-SNP members: 1) Use new integrated UCard subscriber IDs for all 2026 services, 2) Select 'Multiple Policies' option when verifying eligibility and choose policy from dropdown, 3) Split claims spanning Dec 2025-Jan 2026: use old subscriber ID for December dates and new subscriber ID for January dates, 4) Wait for both Medicare and Medicaid PRAs before balance billing, 5) Obtain new prior authorizations for continuing services (automatic rollover occurred but verify in portal). Claims with old subscriber IDs for 2026 services will be denied.