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Clinical Information- UnitedHealthcare Medical Policies
UnitedHealthcare has developed Medical Policies, Drug Policies, and Coverage Determination Guidelines to assist us in administering health benefits. These policies and guidelines are provided for informational purposes, and do not constitute medical advice.
For Medicare Medical Policies, please click here.
Integrity of Claims, Reports, and Representations to the Government
UnitedHealth Group requires compliance with the requirements of federal and state laws that prohibit the submission of false claims in connection with federal health care programs, including Medicare and Medicaid. Click here (PDF 34.75 KB) to download our policy.
Beginning on October 1, 2011, when these medical policies are used to determine medical necessity, clinical guidelines will be applied in the following order: 1) AHCCCS Medical Policy Manual (AMPM) as it is updated; 2) UnitedHealthcare guidelines; 3) "Milliman&" guidelines.
To see updated policy changes, select the Bulletin section at left.