COVID-19 General Guidance Updates
Last updated: june 5, 2020
The health of our members and the safety of those who deliver care are our top priorities. United Behavioral Health (dba Optum Behavioral Health) is taking action and providing resources to support our members and providers during this challenging time. United Behavioral Health is working to help people access health care to the fullest extent possible as we come together to address this national emergency. We’re adopting measures that will reduce administrative burden for physicians and facilities, helping members more easily access the care they need under their benefit plan, and adjusting programs and services, as needed, to protect members and help limit the spread of the COVID-19 virus in communities.
- FAQs - COVID-19 and temporary virtual visit policies
- UBH Updates on Prior Authorization for Residential, IOP and PHP Programs – rev 5/6/20
- UBH Updates on Prior Auth IP-IOP-PHP-Effective 6/1/20
- UBH Waived Cost-Sharing for UnitedHealthcare Members for in-network non-COVID telehealth
Providers are encouraged to confirm member benefits and coverage provided by their health plan at the time of service due to the rapidly changing situation.
- Optum will review claims that may be impacted by cost-sharing waivers and reprocess them automatically. The provider will not need to request a claim adjustment or appeal.
- Due to the rapidly changing environment around patient cost-sharing waivers, providers may want to allow their claim to be fully processed before collecting any patient cost-sharing responsibility.
CARES Act Relief Funds
On March 27, 2020, the President signed the bipartisan CARES Act that provides $100 billion in relief funds to hospitals and other healthcare providers on the front lines of the coronavirus response. This funding will be used to support healthcare-related expenses or lost revenue attributable to COVID-19 and to ensure uninsured Americans can get testing and treatment for COVID-19. Because payment amounts and eligibility are determined in accordance with the CARES Act, please visit: https://www.hhs.gov/provider-relief/index.html for additional information or any questions you may have.
Timely Filing Waiver (UnitedHealthcare Membership) - The following provisions apply unless superseded by State, Federal, or Medicaid mandates
- During the COVID-19 public health emergency, Optum is extending the timely filing requirement for members covered through UnitedHealthcare Medicare Advantage, Medicaid, and commercial plans
- Claims for dates of service on or after January 1, 2020 will not be denied for timely filing if submitted by July 24, 2020
- Based on the status of the emergency, this date may be extended. Check this site for updates
- If no further extension is posted, any claims incurred prior to July 24, 2020 will need to be submitted within 90 days of that date
We are monitoring the inquires we’re receiving on an ongoing basis and working hard to answer your questions. We will be making frequent updates to this page. Please be sure to check back often for the latest information.
The benefits described within this website describe federal requirements and Optum and UnitedHealthcare national policy. Additional benefits may be available in some states and under some plans.