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Policies and Clinical Guidelines

Reimbursement Policies

View the current UnitedHealthcare Community Plan Reimbursement Policies

We have compiled a list of evidence-based clinical guidelines and where they can be found for our quality and health management programs. 

We respect the expertise of the physicians and other health care professionals in our network and appreciate your help as we work together to offer our members better quality, better health outcomes and better cost. 

If you have questions, please contact your Physician Advocate or call the number on the back of the member's ID card.

Provider Advisory Committee Approval and Adoption Date: TBD

For the Dual Complete (HMO-SNP) Program, please follow the Medicare Advantage policies.