Transcription of 2021 Summary of Changes to Advance Notification and Prior ...
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2021 Summary of Changes to Advance Notification and Prior ...
The most up-to-date Advance Notification lists are available online at > Advance Notification and Plan Requirement Resources > Plan Requirement Resources Return to the top of the document 2021 Summary of Changes to Advance Notification and Prior Authorization Requirements These Changes are part of UnitedHealthcare's ongoing responsibility to evaluate our medical policies, clinical programs and health benefits compared to the latest scientific evidence and specialty society guidance. Using evidence-based medicine to guide coverage decisions supports quality patient care and reflects our shared commitment to the Triple Aim of better care, improved health outcomes and lower costs. Although Prior authorization requirements may be added/updated/removed for certain codes, post-service determinations may still be applicable based on criteria published in medical policies, local/national coverage determination criteria, and/or state fee schedule coverage.
Dec 01, 2021 · Healthcare Common Procedure Coding System (HCPCS) code Feb 1, 2022 Previously announced as effective Oct. 1, 2021, the transition to Optumforprior authorization requests and new prior authorization requirements have been delayed until Feb. 1, 2022 • UnitedHealthcare Commercial Plans Add Injectable Medications J0881 Jan. 1, 2022 ...
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