Becker's Healthcare October 1, 2024
UnitedHealthcare’s national prior authorization gold-card program went into effect Oct. 1.
Five things to know:
1. Providers will not have to apply for the gold-card program but must meet certain eligibility requirements:
- Be in-network for at least one UnitedHealthcare commercial, individual exchange, Medicare Advantage or community (Medicaid) plan.
- Meet a minimum annual volume of at least 10 prior authorizations each year for two consecutive years across gold-card-eligible codes.
- Have a prior authorization approval rate of 92% or more across all gold-card eligible codes for each of the review years.
2....
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