January 25, 2024
 
Please review the following updates.
  • Reminders:
    • HEDIS season is upon us! Learn more.
    • 2024 Provider Summary Guides are now available. Learn more.
  • Plan updates:
    • Effective March 1, 2024, we will be adopting the following UnitedHealthcare reimbursement policies:
    • Age-Based Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans (uhcprovider.com)
    • Anatomical Modifier Requirement Policy, Professional - Reimbursement Policy - UnitedHealthcare Community Plan (uhcprovider.com)
    • Ambulance Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plan (uhcprovider.com)
    • Inappropriate Primary Diagnosis Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans (uhcprovider.com)
    • Physical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans (uhcprovider.com)
    • Physical Medicine & Rehabilitation: PT, OT and Evaluation & Management Policy, Professional - UnitedHealthcare Commercial Plans (uhcprovider.com)
    • Physical Medicine & Rehabilitation: Speech Therapy Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans (uhcprovider.com)
    • Prolonged Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans (uhcprovider.com)
    • Drug Testing Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans (uhcprovider.com)
    • From - To Date Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans (uhcprovider.com
    • Durable Medical Equipment, Orthotics and Prosthetics Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans (uhcprovider.com)
  • SHO Plan updates:
    • Sample ID cards for new employer groups below: 
      • City of Reno Learn more.
      • P3 Health Partners Learn more.
      • Peppermill Learn more.
      • Wynn Resorts Limited Learn more.
    *Please note employer groups can sometimes maintain multiple plans.
    **Member cost share varies by plan. Please verify member eligibility and benefits prior to seeing our member.
  • Medicaid plan updates:
    • REMINDER - Health Plan of Nevada Medicaid is now UnitedHealthcare Health Plan of Nevada Medicaid. New name, same great network!  Learn more.
    • Medicaid Services Manual Chapters updated. Learn more.
Thank you,
Provider Services
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If you have questions, please reach out to your provider advocate directly, or
For Medical - call us at 702-242-7088 (option 2 then 5), or email ProviderAdvocateTe@uhc.com.
For Behavioral Health - call us at 702-364-1484, or email BH_Provider_Advocates@uhc.com.