Specialty Medical Injectable Drug program updates
AI Summary
UnitedHealthcare has updated their Specialty Medical Injectable Drug Program with new requirements for specialty drugs covered under medical benefits. The policy directs providers to access the Medical Benefit Specialty Drug Update Bulletin for complete details on drugs added to review at launch and updated program requirements.
Action Required
Immediately: Billing team and providers must access and review the Medical Benefit Specialty Drug Update Bulletin at UnitedHealthcare's provider portal to understand new specialty drug requirements, coverage changes, and any prior authorization updates. Update billing procedures for specialty injectable drugs based on the bulletin's specific requirements to avoid claim denials.
Plan Types
All Plans
Specialties
oncology, rheumatology, neurology, gastroenterology, dermatology, endocrinology, nephrology, hematology