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MEDICAL POLICY UPDATE BULLETINS: APRIL 2022

Medical policy updates for April 2022 for the following plans: Medicare,
Medicaid, Exchanges, and Commercial.

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APRIL 2022 POLICY AND PROTOCOL UPDATES OVERVIEW

Review the latest UnitedHealthcare prior authorization, medical policy,
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MEDICAID: EFFECTIVE JUNE 1, NEW PRIOR AUTHORIZATION CODES ADDED IN MORE STATES

Effective June 1, 2022, we’re adding new codes to the prior authorization list
for cardiovascular procedures, prostate procedures, spine surgery and cosmetic
surgery procedures.

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KENTUCKY: UPDATING INCARCERATION RELEASE DATES IN KYMMIS

Medicaid benefits are suspended for UnitedHealthcare Community Plan members when
they’re incarcerated. Benefits are reinstated when they’re released. However,
sometimes you’ll find release dates need to be updated. We’ll work with the
Department for Medicaid Services (DMS) to get eligibility updated in the KYMMIS.

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REIMBURSEMENT POLICY UPDATE BULLETINS: APRIL 2022

You can review the details on April's reimbursement policy updates through the
commercial, Medicare, Medicaid and Exchange plan bulletins.

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