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09/05/2024

UnitedHealthcare® Announces Details of Prior Authorization Gold Card to Start

 

For the last year, OSMA has been advocating for HB 130 that would create a prior authorization gold card program for physicians in Ohio. As these efforts continue, one of the biggest payers in Ohio, UnitedHealthcare (UHC), has announced the details of a gold card program they will implement in Ohio and across the nation starting October 1.

The program incorporates many of the elements contained in HB 130. This week, UHC released the specifics of the program including how a practice qualifies, billing codes included and several other administrative aspects.

Please note the links below to several resources that provide all the details. Be sure you review these details carefully, and reach out directly to UHC for additional questions.

OSMA will continue our efforts at the state level to ensure reform across the entire health insurance industry to reduce the administrative burden on medical practices.


  RESOURCES  
  TO REVIEW:      

UHC Announcement >

Gold Care Program Website > 

List of Codes Covered >

OSMA Gold Card Legislation >

 

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