Texas Health Plans

Post-Acute Prior Authorization Changes in Texas

Effective June 26, 2020 until Aug. 31, 2020, we’re suspending post-acute prior authorization requirements for Texas in-patient facilities that are impacted by an overwhelming increase in Emergency Department visits and admissions.

Legal Notice!

Texas Physicians and Care Providers Enrollment Notice

COVID-19 CMS Out of Network Notification

For UnitedHealthcare Medicare Advantage members directly affected in a material way by the national public health emergency, to meet the Centers for Medicare & Medicaid Services (CMS) requirements, we will:

  •  Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities)
  • Waive in full, requirements for gatekeeper referrals where applicable
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee


UnitedHealthcare provides a range health care alternatives designed to meet the needs of our members. With our broad network of contracted care providers, health care services come from local physicians and hospitals that many plan members know and trust. Not all health care providers in a given state participate in all plans.


Commercial


Medicaid (Community Plan)


Medicare


UnitedHealthcare Administrative Guides

Comprehensive guides that allow you and your staff to find important information for topics such as processing a claim and prior authorizations, as well as protocol information for health care providers.

View available administrative guides and manuals >