United HealthCare Community Plan of Arizona policies, page 6

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
Panniculectomy SurgeryCS093.Y · Effective Jul 1, 2026 · Medicaid5Original policy ↗
Papzimeos™ (Zopapogene Imadenovec-Drba)Medicaid1Original policy ↗
Pediatric and Neonatal Critical and Intensive Care Services PolicyEffective Aug 1, 2026 · Medicaid4Original policy ↗
Pediatric Gait Trainers and Standing SystemsCS159.M · Effective May 1, 2026 · Medicaid7Original policy ↗
Percutaneous Patent Foramen Ovale (PFO) ClosureMedicaid1Original policy ↗
Percutaneous Vertebroplasty and KyphoplastyMedicaid6Original policy ↗
Pharmacogenetic Panel TestingCS149.Z · Effective Aug 1, 2026 · Medicaid22Original policy ↗
Physical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy, ProfessionalMedicaid26Original policy ↗
Physical Medicine & Rehabilitation: Multiple Therapy Procedure Reduction Policy, ProfessionalMedicaid4Original policy ↗
Physical Medicine & Rehabilitation: PT, OT and Evaluation & Management Policy, ProfessionalMedicaid8Original policy ↗
Physical Medicine & Rehabilitation: Speech Therapy Policy, ProfessionalMedicaid4Original policy ↗
Plagiocephaly and Craniosynostosis TreatmentCS095.T · Effective Feb 1, 2026 · Medicaid4Original policy ↗
Pneumatic Compression DevicesCS097.T · Effective Jul 1, 2026 · Medicaid19Original policy ↗
Preimplantation Genetic Testing and Related ServicesCS160.N · Effective May 1, 2026 · Medicaid35Original policy ↗
Preventive Medicine and Screening Policy, ProfessionalMedicaid96Original policy ↗
Procedure to Modifier Policy, ProfessionalEffective Jul 1, 2020 · Medicaid390Original policy ↗
Procedure to Place of Service Policy, ProfessionalMedicaid725Original policy ↗
Professional/Technical Component Policy, Professional2026R0012J · Medicaid66Original policy ↗
Prolonged Services Policy, ProfessionalMedicaid24Original policy ↗
Prolotherapy and Platelet Rich Plasma TherapiesCS103.V · Effective Feb 1, 2026 · Medicaid5Original policy ↗
Prostate Surgeries and InterventionsCS334.H · Effective Jul 1, 2026 · Medicaid24Original policy ↗
Proton Beam Radiation TherapyCS105.U · Effective May 1, 2026 · Medicaid8Original policy ↗
Provider Administered Drugs – Site of CareCS2026D0121P · Effective Jul 1, 2026 · Medicaid63Original policy ↗
Provider Preventable Conditions: Health Care Acquired Conditions and Present on Admission Policy, FacilityMedicaid—Original policy ↗
Qalsody® (Tofersen) – Community Plan Medical Benefit Drug PolicyMedicaid1Original policy ↗
Radiation Therapy Planning, Dosimetry, Simulation/Devices and Management Policy, Professional and Facility2026R7136A · Medicaid16Original policy ↗
Radiation Therapy: Fractionation, Image-Guidance, and Special ServicesCS179.H · Effective Jun 1, 2026 · Medicaid17Original policy ↗
Radioallergosorbent (RAST) Type Tests Policy, Professional2026R0092A · Effective Mar 8, 2026 · Medicaid1Original policy ↗
Readmission Policy, FacilityMedicaid—Original policy ↗
Reblozyl® (Luspatercept-Aamt)Medicaid1Original policy ↗
Rebundling Policy, ProfessionalEffective Jul 12, 2026 · Medicaid38Original policy ↗
Rebyota® (Fecal Microbiota, Live-Jslm)Medicaid1Original policy ↗
Reduced Services Policy, Professional2026R0065A · Effective Feb 4, 2024 · Medicaid—Original policy ↗
Reimbursement Policy Update Bulletin: February 2026Effective Feb 1, 2026 · Medicaid6Original policy ↗
Reimbursement Policy Update Bulletin: January 2026Effective Jan 1, 2026 · Medicaid7Original policy ↗
Reimbursement Policy Update Bulletin: June 2026Effective Jun 1, 2026 · Medicaid3Original policy ↗
Reimbursement Policy Update Bulletin: October 2025Effective Oct 1, 2025 · Medicaid—Original policy ↗
Replacement Codes Policy, ProfessionalMedicaid8Original policy ↗
Repository Corticotropin InjectionsMedicaid2Original policy ↗
Respiratory Interleukins (Cinqair®, Fasenra®, & Nucala®)Medicaid3Original policy ↗
Respiratory Pathogen Nucleic Acid Detection TestingCS379.B · Effective May 1, 2026 · Medicaid9Original policy ↗
Revenue Codes Requiring Procedure Code Policy, FacilityMedicaid1Original policy ↗
Review at Launch for New to Market MedicationsMedicaid3Original policy ↗
Rhinoplasty and Other Nasal ProceduresCS107.AF · Effective May 1, 2026 · Medicaid18Original policy ↗
Rituximab (Riabni®, Rituxan®, Ruxience®, & Truxima®)CS2026D0003AT · Effective Apr 1, 2026 · Medicaid6Original policy ↗
RNA-Targeted Therapies (Amvuttra® and Onpattro®)Medicaid2Original policy ↗
Robotic Assisted Surgery Policy, ProfessionalEffective Sep 8, 2025 · Medicaid1Original policy ↗
Roctavian® (Valoctocogene Roxaparvovec-Rvox)Medicaid—Original policy ↗
Ryplazim® (Plasminogen, Human-Tvmh)Medicaid1Original policy ↗
Sacral Nerve Stimulation for Urinary and Fecal IndicationsCS358.E · Effective Dec 1, 2025 · Medicaid16Original 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.