UHC Community Plan Adds 3 States to Prior Authorization

UnitedHealthcare (UHC) Community Plan is adding 3 states (in addition to the 4 previously announced) that will require prior authorization prior to initiating physical, occupational and/or speech therapy services. In addition, UHC Community Plan is adding site of service medical necessity reviews for all speech, occupational and physical therapy services provided in a hospital outpatient…

UnitedHealthcare Community Plan Implements Prior Authorization for Therapy

UnitedHealthcare Community Plan has announced they will implement prior authorization for outpatient physical, occupational and speech therapy services in select states beginning as early with dates of service on and after August 1, 2019. In addition, UnitedHealthcare Community Plan has announced they will be conducting site of service medical necessity reviews for all speech, occupational…

UnitedHealthcare Updates Habilitative Therapy Policy

UnitedHealthcare Commercial has updated their coverage determination guideline (CDG) for Habilitative Services and Outpatient Rehabilitation Therapy with an effective date of February 1, 2019. This updated CDG impacts habilitative services provided by physical therapists, occupational therapists and speech-language pathologists. To access the updated CDG, log into your Gold Member account and click