skip to Main Content

United Healthcare Medical Policy Updates – April 2018

United Healthcare Medical Policy Updates – April 2018
United Healthcare Medical Policy Updates

Click here to view the United Healthcare Medical Policy Updates »

April 2018 Medical Policy Updates:

UPDATED

  • Chelation Therapy for Non-Overload Conditions – Effective Apr. 1, 2018
  • Cochlear Implants – Effective May 1, 2018
  • Computerized Dynamic Posturography – Effective Apr. 1, 2018
  • Deep Brain and Cortical Stimulation – Effective Apr. 1, 2018
  • Embolization of the Ovarian and Iliac Veins for Pelvic Congestion Syndrome – Effective Apr. 1, 2018
  • Infertility Diagnosis and Treatment – Effective Jun. 1, 2018
  • Thermography – Effective Apr. 1, 2018

REVISED

  • Chromosome Microarray Testing (Non-Oncology Conditions) – Effective Jun. 1, 2018
  • Cognitive Rehabilitation – Effective May 1, 2018
  • Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation – Effective May 1, 2018
  • Molecular Oncology Testing for Cancer Diagnosis, Prognosis, and Treatment Decisions – Effective Apr. 1, 2018
  • Omnibus Codes – Effective May 1, 2018

RETIRED

  • Thermal Capsulorrhaphy/Thermal Shrinkage Therapy – Effective Apr. 1, 2018

 

Medical Benefit Drug Policy Updates:

NEW

  • Ketamine – Effective Apr. 1, 2018
  • Trogarzo™ (Ibalizumab-Uiyk) – Effective Apr. 1, 2018

UPDATED

  • Clotting Factors and Coagulant Blood Products – Effective Apr. 1, 2018
  • Exondys 51™ (Eteplirsen) – Effective Apr. 1, 2018
  • Infliximab (Remicade®, Inflectra™, Renflexis™) – Effective Apr. 1, 2018
  • Rituxan® (Rituximab) – Effective Apr. 1, 2018
  • Simponi Aria® (Golimumab) Injection for Intravenous Infusion – Effective Apr. 1, 2018
  • Spinraza™ (Nusinersen) – Effective Apr. 1, 2018
  • Stelara® (Ustekinumab) – Effective Apr. 1, 2018
  • White Blood Cell Colony Stimulating Factors – Effective Apr. 1, 2018

REVISED

  • 17-Alpha-Hydroxyprogesterone Caproate (Makena™ and 17P) – Effective Apr. 1, 2018
  • Lemtrada (Alemtuzumab) – Effective Apr. 1, 2018
  • Maximum Dosage – Effective Apr. 1, 2018

 

Coverage Determination Guideline (CDG) Updates:

UPDATED

  • None

REVISED

  • Infertility Services – Effective Jun. 1, 2018

 

Utilization Review Guideline (URG) Updates

UPDATED

  • None

REVISED

  • None

REVISED

  • None

 

Click here to view the United Healthcare Medical Policy Updates »

 

Policy Alerts monitors Commercial and Medicare medical policies for changes. While Payers typically update medical policies annually, there are many reasons why a Payer might review or update a policy. When reviews occur out of cycle, they may go unnoticed. Policy Alerts keeps you informed of upcoming and unexpected coverage changes affecting your product. Quickly understanding the changes Payers make can help you adjust reimbursement strategies impacting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on Payer decisions in real-time. Whenever changes occur, email notifications containing a summary of those changes are delivered to your inbox. Clients can access detailed coverage reports and medical policies on the interactive Dashboard portal. Save time and keep focused on the important Payer medical policy reviews and coverage decisions affecting your product!

Policy Alerts takes a client-focused hands-on approach and works hard to provide our customers with helpful insights and actionable analytics over raw data. We understand what our clients need and we are dedicated to making sure we provide timely, accurate and always up-to-date reports that can be used to implement and support a successful reimbursement strategy.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.

Back To Top