UnitedHealthcare Community Plan
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Bulletins & Payment Policy Notifications

See the bulletins below to stay up-to-date on news, policy changes, and other issues important to your practice.

IA Health Link

HCBS & Habilitation Services Claim Submission Tips (PDF 53.81 KB) - 1.11.2017

Billing Reminders for FQHCs and RHCs (PDF 80.41 KB) - 1.11.2017

Immediate Reprocessing Notification for Emergency Room (ER) Visit Claims (PDF 92.92 KB) - 12.23.2016

Client Participation Clarification for HCBS Services and Institutional Settings (PDF 45.58 KB)

Requesting Managed Care Wraparound Payment Supporting Claims Detail Reports (PDF 31.64 KB)

Billing Reminder for Ambulance Services (PDF 47.82 KB) - 11.8.2016

HCBS Rate Floor Reimbursement Increase (PDF 50.78 KB) - 10.14.2016

Changes to Supported Employment & Prevocational Services (PDF 84.23 KB) - 9.16.2016

Billing Reminders for Home Health Services (PDF 49.21 KB) - 9.1.2016 

Many Home Health Services No Longer Require Proir Authorization (PDF 50.94 KB) - 8.18.2016

Billing Reminder for Hospice Services (PDF 68.58 KB) - 8.2.2016

Billing Reminder for CDAC Service Providers (PDF 73.78 KB) - 5.16.2016

UnitedHealthcare Community Plan and OptumRx to Manage Pharmacy Benefits for Iowa Health Link Members (PDF 141.41 KB) - 4.7.2016

Launch of IA Health Link set for April 1, 2016 (PDF 124.63 KB) - 3.15.2016

UnitedHealthcare Community Plan Added to EPS (PDF 77.64 KB) - 1.28.2016


Payment Policy Notifications

Coding Reminder: How to Report Multiple Surgeons For One Operative Session (PDF 732.37 KB)

Revision to Maximum Frequency per Day and Bilateral Procedures Policies for Procedure Codes with Bilateral Surgery Indicator of “2”-Effective February 12, 2017 (PDF 125.61 KB)

Policy Change for the Multiple Procedure Payment Reduction of Diagnostic Imaging Services-Effective January 1, 2017  (PDF 351.3 KB)

Revision to Lupron Policy-Effective January 1, 2017 (PDF 203.22 KB)

New Facility Reimbursement Policy-Appropriate Patient Status for Type of Bill Policy-Effective December 1, 2016 (PDF 180.99 KB)

New Policy-Evaluation and Management Reimbursement Policy (PDF 123.16 KB)          

Phase Two Implementation Delay for Supply Reimbursement Policy (PDF 139.5 KB)          

Changes to the CCI Editing, DME, Incontinence Supply, Lab Services, and T Status Codes Policies -Effective August 20, 2016 and Implementation of the new Consultation Services Policy-Effective September 1, 2016 (PDF 282.07 KB)

Facility Billing Policy Update Reporting an ICD-10 Manifestation Code as a Primary/Principal Diagnosis - Effective July 1, 2016 (PDF 130.9 KB)

New Intensity-Modulated Radiation Therapy (IMRT) Reimbursement Policy - Effective July 1, 2016 (PDF 122.63 KB)

Changes to the Obstetrical Services and Supply Policies - Effective May 21, 2016 and Changes to the Inappropriate Primary Diagnosis Codes Policy and Implementation of the New Diabetic Testing Strips and Lancets Policy - Effective June 1, 2016 (PDF 204.94 KB)

REVISED: Adjunct Professional Services Policy - Frequently Asked Questions (PDF 394.63 KB)

Adjunct Professional Services Policy-Frequently Asked Questions (PDF 394.61 KB)

Claims Processing Change for Eight Professional Reimbursement Policies - Effective May 21, 2016 (PDF 145.71 KB)

New Place of Service (POS) 19 and Revision to POS 22-Effective January 1, 2016 and Telemedicine Policy Changes-Effective February 13, 2016 (PDF 177.42 KB)

Reporting Obstetrical Procedure Codes with Date Spans (PDF 140.03 KB)

Revision to Time Span Codes Policy - Effective Fourth Quarter 2015 (PDF 120.08 KB)

Reimbursement and Drug Policy Update for ICD-10 (PDF 183.43 KB)

2015 Quarter 3 & 4 Updates: Subsequent Revision Delay for the Radiology Multiple Imaging Reduction and Multiple Procedure Policies (PDF 136.23 KB)

Procedure to Place of Service and Laboratory Services Reimbursement Policy Updates-Effective August 22, 2015 (PDF 191.37 KB)

Reimbursement Policy Clarification for the Maximum Frequency Per Day Policy and Revision Delay for the Radiology Multiple Imaging Reduction and Multiple Procedure Policies (PDF 139.15 KB)

Changes to Existing Reimbursement Policies-Effective May 2015 (PDF 206.2 KB)

REVISED: New “X” Modifiers and Impact to UnitedHealthcare Community Plan Reimbursement Policies (PDF 380.73 KB)

Physical Medicine & Rehabilitation: Multiple Therapy Reduction Policy Reminder (PDF 24.38 KB)

New Reimbursement Policies and Changes to Existing Reimbursement Policies-Effective Feb. 14, 2015 and Mar. 1, 2015 (PDF 211.02 KB)