UnitedHealthcare COVID-19 Update

UnitedHealthcare recently published an update relative to COVID-19.  Noted in the introductory paragraph of this notice:

"Although the national public health emergency period currently has an end date of July 24, 2020, we know your work is far from over. The following resources will help you quickly reference the effective dates for UnitedHealthcare’s temporary benefit, program and procedure changes related to COVID-19, as well as billing guidelines for services such as COVID-19 testing, treatment and telehealth."

This notice can be found online here

Note the following dates, which may be critical to your rendering and receiving payment for rendered services:

  • June 1 – All currently effective prior authorization requirements and site of service reviews resume.
  • June 30 – Claims with a date of service on or after Jan. 1, 2020 will not be denied for timely filing if submitted by June 30, 2020.
  • July 24 – COVID-19 telehealth service coverage and related cost-share waivers for Individual and fully insured Group Market health plan members are extended through July 24, 2020. We’ll adhere to state regulations for Medicaid plans.
  • Sept. 30 – Cost share is waived for Medicare Advantage members for both primary and specialty office care visits, including telehealth, through Sept. 30, 2020.

UnitedHealthcare provides more detailed info relative to program specifics by date at this link.

Note that this is only one carrier.  All carriers update their policies and procedures on a periodic basis.  This most recent update was published on 5/31/20.  UnitedHealthcare also offers additional guides and tips to assist you in providing telemedicine services.  Check for the most up to date information at: https://www.uhcprovider.com/.

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