UHC - In Network Hospitals and Skilled Nursing Facilities Temporary Prior Authorization Program Changes

April 19, 2021

UnitedHealthcare Prior Authorization  Program Changes – COVID-19

This announcement is applicable to all in-network hospitals and all in-network skilled

nursing facilities (SNFs) in the Detroit-Warren-Dearborn, Kalamazoo-Portage, Lansing-

East Lansing and Flint, Michigan Metropolitan Statistical Areas (MSA).*

 

During the COVID-19 national public health emergency, UnitedHealthcare is temporarily

suspending select utilization management requirements for in-network hospitals and innetwork

SNFs due to an overwhelming increase in Emergency Department visits,

admissions and transfers. The suspended requirements and dedicated support resources

are being communicated directly to you as one of the impacted hospitals and facilities in the

Detroit-Warren-Dearborn, Kalamazoo-Portage, Lansing-East Lansing and Flint, Michigan

MSAs.

 

The specific adjustments to our program in Michigan applies to UnitedHealthcare Medicare

Advantage, Medicaid and Individual and Group Market health plan members, effective April

16, 2021 to May 16, 2021.

For the specific details, please read the attachment provided below.