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UnitedHealthcareMedicaid · Administrative · Network News · HI, NM, RI, WIHigh impact

Medicaid: Paper submissions no longer accepted

Act
by Oct 31, 2026
Effective date
Nov 1, 2026
Identified
Oct 1, 2026

Summary

Effective November 1, 2026, UnitedHealthcare Community Plan (Medicaid) in Hawaii, New Mexico, Rhode Island, and Wisconsin will no longer accept paper submissions for post-service appeals. All appeals must be submitted electronically via the UnitedHealthcare Provider Portal or API. Paper appeals will not be reviewed.

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What to do

by Oct 31, 2026 · 5 steps
01Billing team must transition all post-service appeal workflows from paper-based to electronic submission.
02Ensure all staff with appeal responsibilities have active One Healthcare IDs and portal access via UHCprovider.com.
03Update internal appeal procedures and templates to route all appeals through the UnitedHealthcare Provider Portal (Claims & Payments > Look up a Claim > Act on Claim) or API for organizations with high claim volume and technical capacity.
04Train all billing staff, providers, and external vendors (revenue cycle management companies) on electronic appeal submission requirements.
05Remove paper appeal processes from billing workflows and documentation.
If missed: Failure to submit appeals electronically after November 1, 2026 will result in appeals not being reviewed and potential claim denials.

Original notice

Medicaid: Paper submissions no longer accepted
uhcprovider.com · Always check the source before changing claims.
View original ↗

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