UnitedHealthcare and local network practitioners review evidence-based clinical guidelines at least annually. Subsequently, the following guidelines were recently adopted by the health plan on June 23, 2026. Please review them carefully to determine if and how they affect your daily practices.
The UM criteria utilized in rendering a decision is available to providers on our website, or upon request by contacting the Prior Authorization Department at (702) 243-8499 or (888) 224-4036.
Medical Policies Update
HPN Medicaid and local network specialists review state specific medical policies at least annually. That said, the following policies were recently reviewed and adopted by the health plan on July 2, 2026. Please review them carefully to determine if and how they affect your daily practices.
If you have questions, please reach out to your provider advocate directly, or For Medical - call us at 702-242-7088 (option 2 then 5), or email ProviderAdvocateTe@uhc.com.
