Thank you for providing quality, cost effective care to our members. Health Plan of Nevada and Sierra Health & Life’s Medical Management and Clinical Review teams will be transitioning from MCG Guidelines to Interqual Guidelines to keep in line with United Healthcare. While HPN/SHL will not maintain the same effective date as UHC (5/1/21), we are expecting to transition in the next few months. In the meantime, please visit UHC's Network Bulletin Overview page for additional information regarding Interqual, and we will update you when we have additional information.
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.