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Resources and tools for providers and health care professionals

We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

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Our digital solutions offer you the fastest way to find plan information, manage tasks, check statuses and decisions — all without calling.

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News

June monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates for June 2025.

Reimbursement Policy Update Bulletins: June 2025

You can review the details on reimbursement policy updates for June 2025 through the Commercial, Medicare Advantage, Medicaid and Exchange plan bulletins.

Medical Policy Updates: June 2025

Medical policy updates for June 2025 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.

Specialty Medical Injectable Drug Program updates: June 2025

Specialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Exchange plans for June 2025.

Pharmacy and clinical updates: June 2025

Review the latest drug list and pharmacy updates for June 2025 from UnitedHealthcare.

UnitedHealthcare Community Plan of Texas: New Medicaid billing process

Changes include fee-for-service to managed care billing and how wraparound medications are reimbursed.