In response to the COVID-19 public health emergency, we are delaying implementation of the following programs, policies, protocols and site of service reviews. Additional information and updates will be provided in future Network Bulletin editions and online at UHCprovider.com/networknews.

• Electronic Payment Solutions rollout — delayed until further notice

• Commercial

• Emergency Department (ED) Professional Evaluation and Management (E/M) Coding Policy focused on claims submitted with level 5 (99285) E/M code — delayed until 3rd Quarter 2020

• Commercial and Medicare Advantage

• ePrescribing Requirement for Controlled Substances — delayed until July 1, 2020
• Commercial and Medicare Advantage

• Genetic and Molecular Prior Authorization code update

• Ohio — delayed until further notice
• Washington — delayed until Sept. 1, 2020
• Medicare Advantage

• Health and Human Services Risk Adjustment Data Validation (HHS RAVD) audit – delayed until further notice
• Hospital Reference Lab Protocol — delayed until further notice

• Commercial

• Lower Extremity Vascular Intervention Medical Policy — delayed until Aug. 1, 2020
• Commercial

• Medical Benefit Drug Changes

• Tysabri and Krystexxa prior authorization — delayed until Oct. 1, 2020

• Commercial

• Medication Sourcing Expansion — delayed until further notice

• Commercial and Community Plan for Texas and Pennsylvania

• Orencia Step Therapy Program —no longer being implemented

• Commercial

• Ocrevus Step Therapy Program —no longer being implemented

• Commercial and Community Plan

• Ocrevus Administrative Guide/Sourcing Program — being transitioned to the Medication Sourcing Expansion (MSE) program which applies only to outpatient hospital providers —the implementation date of MSE will be announced in a future Network Bulletin.

• Commercial

• Pharmacy Benefit for select Prescription Drug List changes— delayed or no longer being implemented

• Basal insulins and other diabetic medications — delayed until July 1, 2020

• Inhaled corticosteroids for asthma — no longer being implemented

• Commercial

• Procedure to Modifier Policy, Professional — Always Therapy enhancements update — delayed until July 1, 2020

• Commercial

Site of Service on some surgical codes— suspended through May 31, 2020

Site of Service surgical reviews UnitedHealthcare Oxford — delayed until July 1, 2020

Reference:

https://www.uhcprovider.com/en/resource-library/news/2020-network-bulletin-featured-articles/0620-policy-protocol-program-delays.html