Beginning January 1, 2021, UnitedHealthcare will be expanding options for members to purchase health insurance using a Health Insurance Marketplace, otherwise known as an “Exchange.” Optum will provide a behavioral health network of reliable, high quality providers, who provide affordable care, to support this business. Optum providers who are included in this network will receive a notice regarding their participation.
Behavioral Health Prior Authorization Code List (Effective 1/1/2021):
AZ Prior Authorization Requirements for UnitedHealthcare Exchange Plans
MD Prior Authorization Requirements for UnitedHealthcare Exchange Plans
NC Prior Authorization Requirements for UnitedHealthcare Exchange Plans
OK Prior Authorization Requirements for UnitedHealthcare Exchange Plans
TN Prior Authorization Requirements for UnitedHealthcare Exchange Plans
VA Prior Authorization Requirements for UnitedHealthcare Exchange Plans
WA Prior Authorization Requirements for UnitedHealthcare Exchange Plans
Beginning January 1, 2022, UnitedHealthcare will further expand options for members to purchase health insurance using a Health Insurance Marketplace.
Behavioral Health Prior Authorization Code List (Effective 1/1/2022):
AL Prior Authorization Requirements for UnitedHealthcare Exchange Plans
AZ Prior Authorization Requirements for UnitedHealthcare Exchange Plans
FL Prior Authorization Requirements for UnitedHealthcare Exchange Plans
GA Prior Authorization Requirements for UnitedHealthcare Exchange Plans
IL Prior Authorization Requirements for UnitedHealthcare Exchange Plans
LA Prior Authorization Requirements for UnitedHealthcare Exchange Plans
MD Prior Authorization Requirements for UnitedHealthcare Exchange Plans
MI Prior Authorization Requirements for UnitedHealthcare Exchange Plans
NC Prior Authorization Requirements for UnitedHealthcare Exchange Plans
OK Prior Authorization Requirements for UnitedHealthcare Exchange Plans
TN Prior Authorization Requirements for UnitedHealthcare Exchange Plans
TX Prior Authorization Requirements for UnitedHealthcare Exchange Plans
VA Prior Authorization Requirements for UnitedHealthcare Exchange Plans
WA Prior Authorization Requirements for UnitedHealthcare Exchange Plans
Additional Information
More information and resources, including the UnitedHealthcare Administrative Guide, can be found at uhcprovider.com.
Frequently Asked Questions
Click here for Optum Individual Exchange FAQs