United HealthCare Community Plan of Arizona policies, page 5

Search United HealthCare Community Plan of Arizona's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

386 public policies Substrate tracks for United HealthCare Community Plan of Arizona, by title.

United HealthCare Community Plan of Arizona policies
PolicyDetailsCodesSource
Medically Unlikely Edits (MUE) Policy, Professional and Facility2026R7117I · Medicaid261Original policy ↗
Microsurgery Policy, ProfessionalEffective Feb 13, 2026 · Medicaid221Original policy ↗
Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal DiseasesCS079.U · Effective Aug 1, 2026 · Medicaid14Original policy ↗
Minimally Invasive Spine Surgery ProceduresCS364.D · Effective Mar 1, 2026 · Medicaid10Original policy ↗
Modifier Policy, FacilityEffective Sep 30, 2025 · Medicaid—Original policy ↗
Modifier Reference Policy, ProfessionalEffective Sep 6, 2026 · Medicaid—Original policy ↗
Modifier SU Policy, ProfessionalMedicaid5Original policy ↗
Mohs Micrographic Surgery Policy, ProfessionalEffective May 8, 2019 · Medicaid15Original policy ↗
Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment DecisionsMedicaid20Original policy ↗
Molecular Oncology Testing for Solid Tumor Cancer Diagnosis, Prognosis, and Treatment DecisionsMedicaid128Original policy ↗
Molecular Pathology Policy, Professional and Facility2026R7135G · Effective Apr 26, 2019 · Medicaid2Original policy ↗
Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease – Community Plan Medical Benefit Drug PolicyMedicaid2Original policy ↗
Motorized Spinal TractionCS080.Q · Effective May 1, 2026 · Medicaid—Original policy ↗
Multiple Procedure Payment Reduction (MPPR) for Diagnostic Cardiovascular and Ophthalmology Procedures Policy, ProfessionalEffective Jun 1, 2018 · Medicaid26Original policy ↗
Multiple Procedure Payment Reduction (MPPR) for Diagnostic Imaging Policy, ProfessionalMedicaid4Original policy ↗
Multiple Procedure Payment Reduction (MPPR) for Medical and Surgical Services Policy, ProfessionalMedicaid21Original policy ↗
Natalizumab (Tyruko® & Tysabri®)Medicaid2Original policy ↗
National Drug Code (NDC) Requirement Policy, Professional and Facility2026R6002A · Medicaid2Original policy ↗
Negative Pressure Wound TherapyCS157.M · Effective Jun 1, 2026 · Medicaid9Original policy ↗
Neurophysiologic Testing and MonitoringMedicaid37Original policy ↗
New Patient Visit Policy, ProfessionalEffective Jun 28, 2026 · Medicaid33Original policy ↗
Niktimvo™ (Axatilimab-Csfr)Medicaid1Original policy ↗
Non Covered and Covered Codes Policy, Facility2026F7009AB · Medicaid3Original policy ↗
Non-Covered and Covered Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Community PlanMedicaid26Original policy ↗
Noncontact Warming Therapy, Ultrasound Therapy, and Fluorescence Imaging for WoundsMedicaid6Original policy ↗
Nonphysician Health Care Professionals Billing Evaluation and Management Codes Policy, ProfessionalMedicaid42Original policy ↗
Nplate® (Romiplostim)CS2026D0214K · Effective Apr 1, 2026 · Medicaid1Original policy ↗
Observation and Discharge Policy, ProfessionalMedicaid10Original policy ↗
Observation Services Policy, FacilityMedicaid16Original policy ↗
Obstetrical Services Policy, ProfessionalMedicaid56Original policy ↗
Obstetrical Ultrasound Policy, ProfessionalMedicaid12Original policy ↗
Obstructive and Central Sleep Apnea TreatmentCS116.AM · Effective Jul 1, 2026 · Medicaid47Original policy ↗
Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache)CS086.AC · Effective Sep 1, 2026 · Medicaid21Original policy ↗
Ocular PhotoscreeningMedicaid3Original policy ↗
Off-Label/Unproven Specialty Drug TreatmentMedicaid—Original policy ↗
Omnibus CodesMedicaid211Original policy ↗
Once in a Lifetime Procedures Policy, ProfessionalEffective Aug 12, 2026 · Medicaid40Original policy ↗
Oncology Medication Clinical CoverageMedicaid72Original policy ↗
One or More Sessions Policy, ProfessionalMedicaid14Original policy ↗
Onychomycosis Testing Policy, Professional and FacilityEffective May 1, 2026 · Medicaid1Original policy ↗
Ophthalmologic Complement InhibitorsMedicaid2Original policy ↗
Ophthalmologic Vascular Endothelial Growth Factor (VEGF) InhibitorsMedicaid11Original policy ↗
Orencia® (Abatacept) Injection for Intravenous InfusionMedicaid1Original policy ↗
Orthognathic (Jaw) SurgeryCS088.X · Effective Jun 1, 2026 · Medicaid71Original policy ↗
Orthotics (L3000) Policy, ProfessionalEffective Jul 1, 2025 · Medicaid1Original policy ↗
Otoacoustic Emissions Testing Policy, ProfessionalEffective Oct 1, 2015 · Medicaid3Original policy ↗
Outpatient Medical Visits and Trauma Activation Policy, Facility2026F7025A · Effective May 4, 2023 · Medicaid15Original policy ↗
Outpatient Rehabilitation Therapy Services Policy, FacilityEffective Nov 9, 2022 · Medicaid1Original policy ↗
Outpatient Surgical Procedures – Site of ServiceCS143.U · Effective Sep 1, 2026 · Medicaid—Original policy ↗
Oxlumo® (Lumasiran) and Rivfloza® (Nedosiran)Medicaid—Original policy ↗

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The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.