Summary
UnitedHealthcare's Community Plan Medicaid medical policy for Alpha1-Proteinase Inhibitors was updated in the November 2026 bulletin, effective 2026-12-01. The change removes language that had excluded Indiana from this Medical Benefit Drug Policy, so the policy now applies to Indiana Community Plan Medicaid members.
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What to do
Action · 4 steps
01Before 2026-12-01: Billing team should update payer-specific policy references and prior authorization checklists for Alpha1-Proteinase Inhibitor drugs so that Indiana UHC Community Plan Medicaid members are handled under this policy.
02Get prior auth before scheduling or administering Alpha1-Proteinase Inhibitor therapy for affected Indiana members, and confirm charge entry for these drugs reflects the policy's requirements.
03Tell providers and front desk staff that Indiana Community Plan Medicaid members are now subject to this policy starting 2026-12-01.
04Claims without the required prior auth will be denied.
Original notice
Alpha1-Proteinase Inhibitors
uhcprovider.com · Always check the source before changing claims.
Related changes
See all UnitedHealthcare changes →Alpha1-Proteinase InhibitorsMediumEffective Dec 1, 2026 · Medical Benefit Drug PolicyAlpha1-Proteinase InhibitorsLowEffective Nov 1, 2026 · Medical Benefit Drug PolicyAlpha1-Proteinase InhibitorsLowEffective Nov 1, 2026 · Medical Benefit Drug PolicyAlpha1-Proteinase InhibitorsLowEffective Nov 1, 2026 · Medical Benefit Drug PolicyBrowse every UnitedHealthcare change in the policy list