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Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Indications (for Ohio Only)
Effective date
Dec 1, 2026
Identified
Nov 7, 2026
Summary
UnitedHealthcare Community Plan of Ohio updated its Medicaid medical policy for extracorporeal shock wave therapy (ESWT) for musculoskeletal and soft tissue indications, with the updated policy effective 2026-12-01. The revision refreshes the clinical evidence and references sections, so billing teams should review the updated criteria before submitting ESWT claims for Ohio Community Plan members.
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What to do
Action · 2 steps
01By 2026-12-01: Billing team and providers should review the updated UnitedHealthcare Community Plan of Ohio ESWT policy for musculoskeletal and soft tissue indications and confirm that ESWT orders and documentation for Ohio Medicaid members meet the revised criteria, updating the practice's internal ESWT coverage guidance and charge entry notes accordingly.
02Front desk staff should be told which Ohio Community Plan members are affected before ESWT is scheduled.
Original notice
Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Indications (for Ohio Only)
uhcprovider.com · Always check the source before changing claims.