UnitedHealthcare Updates Outpatient Therapy Medical Policy: August 2023

July 26, 2023
Rick Gawenda

UnitedHealthcare (UHC) has once again revised their Habilitation and Rehabilitation Therapy (Occupational, Physical and Speech) revised medical policy with an effective date of August 1, 2023. The revised policy impacts all UHC Commercial plans and UHC Oxford.

The only revision to this revised policy compared to the July 1, 2023 revision is UHC has

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  1. Are they still requiring a time in and time out be documented on each treatment note?

    We Document total timed minutes and total treatment time for all patients (MC guidelines)-do you think this would fill the requirement?

  2. I just clicked on your link you sent to the revised policy effective 8/1/23 and it does state that “The initial authorization for therapy must also include a plan of care (POC)”. So what has changed from the 7/1/23 policy?

  3. For states with direct access, it seems services can be billed to UHC for the time the practice act allows, given there is no physician order requirement. Would you agree?

    1. UHC, for the mentioned plans in this article, does not require a physician order for therapy and does not require a physician sign and date a plan of care.