Support your clinic and patients with evidence-based guidelines specific to your specialty and patient populations. Access resources from nationally recognized organizations, review study results, and ...

We know you don't have time to spare, so we put all the UnitedHealthcare Community Plan resources you need in one place. Use the navigation on the left to quickly find what you're looking for. Be sure ...

In 2025, H.R.1 introduced new Medicaid eligibility requirements for certain adults enrolled through the Medicaid expansion. Beginning no later than Jan. 1, 2027, adults ages 19–64 who don’t qualify ...

Beginning in September, reconciling accounts and posting payments is more efficient with the new daily and monthly Payment Summary reports. The daily report gives a consolidated view of payment ...

Beginning Jan. 1, 2027, we’re making prescription drug list (PDL) updates for UnitedHealthcare Individual Exchange plans, also referred to as UnitedHealthcare Individual and Family ACA Marketplace ...

As of July 1, 2026, the Centers for Medicare & Medicaid Services (CMS) launched the Medicare GLP-1 Bridge program. This short-term demonstration program: Expands access to select GLP-1 medications ...

You can schedule the 2-year well-child visit before the child’s second birthday for UnitedHealthcare Community Plan of North Carolina members. The visit is fully reimbursable and does not need to ...

The letters give reimbursement information that health plans use to determine facility rates. If your facility doesn’t fall into one of these categories, you may disregard this notice. What you need ...

Network News is published monthly. See updates below.

Medical policy updates for August 2026 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.

Choose a health plan below to review the latest reimbursement policy updates.