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
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.