Read Full Update October monthly overview
AI Summary
UnitedHealthcare released their October 2024 monthly policy overview with multiple updates including new prior authorization requirements for Medicare Part B step therapy medications starting January 1, 2025, electronic submission requirements for Medicaid reconsiderations in several states, and various administrative portal changes.
Action Required
By January 1, 2025: Billing team must update workflows to obtain prior authorization for all Medicare Part B Step Therapy Program medications before prescribing. By November 8, 2024: Arizona, Louisiana, and Pennsylvania Medicaid providers must transition to electronic-only submissions for claim reconsiderations and appeals - update billing staff training and remove paper submission processes. By March 1, 2025: All staff must update UnitedHealthcare Provider Portal sign-in methods per new security requirements.
Plan Types
Medicare Advantage, Traditional Medicare, Medicaid, Commercial, Exchange
States
AZ, LA, PA, MN, MO, NJ, NY, CA, OH
Specialties
all-specialties