Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. These plans are offered through the Health Insurance Marketplace, or the Exchange, where ...

UnitedHealthcare Community Plan of New Jersey will conduct annual reviews of network care providers’ medical records. These medical record audits are contractually required to help ensure quality ...

The letters give reimbursement information that health plans use to determine facility rates. If your facility doesn’t fall into one of these categories, you may disregard this notice. What you need ...

Medical policy updates for August 2026 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.

You can access the Medical Benefit Specialty Drug Update Bulletin for the latest updates on drugs added to review at launch, program requirements and policies. Click through for complete details.

Soon, states will implement requirements that may require some Dual Special Needs Plan (D-SNP) members to have their Medicare and Medicaid coverage with the same health plan. D-SNP alignment is more ...

As of Jan. 1, 2026, you need to contact Chesterfield Resources for prior authorizations related to Salvation Army – Southern Territory members who have access to the Choice Plus network. You can call ...

Our Healthcare Professional Education and Training page offers a wide range of practical, easy-to-use resources designed to support you 24/7. From interactive self-paced guides to webinars, you can ...

Every year, the New York State Department of Health requires health care professionals to complete cultural competency training. Health care professionals can take one of the state’s free accredited ...

Network News is published monthly. See updates below.

Choose a health plan below to review the latest reimbursement policy updates.