MedicaidAdministrativeMedium impact
Update eligible Medicaid and Exchange Members’ PCP in the portal
UnitedHealthcare·Network News
Effective date
Jul 17, 2026
We identified it
Aug 2, 2026
Summary
UnitedHealthcare has expanded a portal feature allowing providers to directly update eligible Medicaid and Exchange members' Primary Care Physician (PCP) selections through the Eligibility and Benefits tool in the UnitedHealthcare Provider Portal. This functionality is rolling out in phases by state and takes effect immediately upon submission, though changes may take several days to reflect in the portal.
Action Required
Immediately: Providers and front desk staff should familiarize themselves with the new PCP update feature in the UnitedHealthcare Provider Portal. Access UHCprovider.com, sign in with One Healthcare ID, navigate to Eligibility and Benefits tool, search for the member, and use the 'Change Primary Care Physician' option when available (only displays for eligible Medicaid and Exchange members in participating states). Notify patients that PCP changes are effective immediately but may take several days to appear in the portal. No billing system changes required, but operational staff should be aware this feature may reduce phone calls and manual PCP change requests for eligible members. Monitor portal availability by state as phased rollout continues.