Thank you for providing quality, cost effective care to our members. Effective December 1, 2022, Health Plan of Nevada and Sierra Health and Life’s Medical Management and Clinical Review teams transitioned from MCG Guidelines to InterQual Guidelines to keep in line with UnitedHealthcare. The transition includes fully insured, self-funded commercial and Medicaid products. If you have any questions regarding this transition, please contact your provider advocate directly or call Provider Services at 702-242-7088 or 1-800-745-7065.
The Health plan Provider Advocates can assist providers requesting additional information or clarification on medical policies.
The links on the results page will take you to the appropriate policy on the UHC website.
Copies of UnitedHealthcare's Medical Policies, Medical Benefit Drug Policies, CDGs, URGs, and QOCGs can also be obtained by sending a written request to:
UnitedHealthcare Policy Requests
4 Research Drive
Shelton, CT 06484
For questions, please contact your local Network Management representative or call the Provider Services number on the back of the member’s ID card.