UnitedHealthcare policy

[Prior Authorization] UnitedHealthcare Community Plan Michigan Medicaid Prior Authorization Requirements - April 2026

[Prior Authorization] UnitedHealthcare Community Plan Michigan Medicaid Prior Authorization Requirements - April 2026 is a public UnitedHealthcare policy (effective Apr 1, 2026). It lists 1,232 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
UnitedHealthcare
Effective
Apr 1, 2026
Line of business
Medicaid
Source
www.uhcprovider.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.

CodeOther UnitedHealthcare policies
0037UPolicies naming 0037U
0060UPolicies naming 0060U
0094UPolicies naming 0094U
0239UPolicies naming 0239U
0242UPolicies naming 0242U
10121Policies naming 10121
11440Policies naming 11440
11450Policies naming 11450
11624Policies naming 11624
11770Policies naming 11770
11960Policies naming 11960
11971Policies naming 11971
13101Policies naming 13101
13121Policies naming 13121
13132Policies naming 13132
14020Policies naming 14020
14021Policies naming 14021
14040Policies naming 14040
14041Policies naming 14041
14060Policies naming 14060
14061Policies naming 14061
14301Policies naming 14301
15100Policies naming 15100
15120Policies naming 15120
15240Policies naming 15240
15820Policies naming 15820
15821Policies naming 15821
15822Policies naming 15822
15823Policies naming 15823
15830Policies naming 15830
15847Policies naming 15847
15877Policies naming 15877
15878Policies naming 15878
15879Policies naming 15879
17106Policies naming 17106
17107Policies naming 17107
17108Policies naming 17108
17999Policies naming 17999
19020Policies naming 19020
19120Policies naming 19120
19125Policies naming 19125
19316Policies naming 19316
19318Policies naming 19318
19325Policies naming 19325
19328Policies naming 19328
19330Policies naming 19330
19340Policies naming 19340
19342Policies naming 19342
19350Policies naming 19350
19357Policies naming 19357
19361Policies naming 19361
19364Policies naming 19364
19367Policies naming 19367
19368Policies naming 19368
19369Policies naming 19369
19370Policies naming 19370
19371Policies naming 19371
19380Policies naming 19380
19396Policies naming 19396
20552Policies naming 20552
20553Policies naming 20553
20680Policies naming 20680
20975Policies naming 20975
21012Policies naming 21012
21013Policies naming 21013
21121Policies naming 21121
21123Policies naming 21123
21125Policies naming 21125
21127Policies naming 21127
21137Policies naming 21137
21138Policies naming 21138
21139Policies naming 21139
21141Policies naming 21141
21142Policies naming 21142
21143Policies naming 21143
21145Policies naming 21145
21146Policies naming 21146
21147Policies naming 21147
21150Policies naming 21150
21151Policies naming 21151
21154Policies naming 21154
21155Policies naming 21155
21159Policies naming 21159
21160Policies naming 21160
21172Policies naming 21172
21175Policies naming 21175
21179Policies naming 21179
21180Policies naming 21180
21181Policies naming 21181
21182Policies naming 21182
21183Policies naming 21183
21184Policies naming 21184
21188Policies naming 21188
21193Policies naming 21193
21194Policies naming 21194
21195Policies naming 21195
21196Policies naming 21196
21198Policies naming 21198
21199Policies naming 21199
21206Policies naming 21206
21208Policies naming 21208
21209Policies naming 21209
21210Policies naming 21210
21215Policies naming 21215
21230Policies naming 21230
21235Policies naming 21235
21240Policies naming 21240
21242Policies naming 21242
21244Policies naming 21244
21245Policies naming 21245
21246Policies naming 21246
21247Policies naming 21247
21248Policies naming 21248
21249Policies naming 21249
21255Policies naming 21255
21256Policies naming 21256
21275Policies naming 21275
21280Policies naming 21280
21282Policies naming 21282
21295Policies naming 21295
21296Policies naming 21296
21299Policies naming 21299
21320Policies naming 21320
21336Policies naming 21336
21552Policies naming 21552
21554Policies naming 21554
21555Policies naming 21555
21556Policies naming 21556
21685Policies naming 21685
21740Policies naming 21740
21742Policies naming 21742
21743Policies naming 21743
21930Policies naming 21930
21931Policies naming 21931
22100Policies naming 22100
22101Policies naming 22101
22102Policies naming 22102
22110Policies naming 22110
22112Policies naming 22112
22114Policies naming 22114
22206Policies naming 22206
22207Policies naming 22207
22210Policies naming 22210
22212Policies naming 22212
22214Policies naming 22214
22220Policies naming 22220
22224Policies naming 22224
22510Policies naming 22510
22511Policies naming 22511
22512Policies naming 22512
22513Policies naming 22513
22514Policies naming 22514
22515Policies naming 22515
22532Policies naming 22532
22533Policies naming 22533
22548Policies naming 22548
22551Policies naming 22551
22554Policies naming 22554
22556Policies naming 22556
22558Policies naming 22558
22586Policies naming 22586
22590Policies naming 22590
22595Policies naming 22595
22600Policies naming 22600
22610Policies naming 22610
22612Policies naming 22612
22630Policies naming 22630
22633Policies naming 22633
22800Policies naming 22800
22802Policies naming 22802
22804Policies naming 22804
22808Policies naming 22808
22810Policies naming 22810
22812Policies naming 22812
22818Policies naming 22818
22819Policies naming 22819
22830Policies naming 22830
22849Policies naming 22849
22850Policies naming 22850
22852Policies naming 22852
22855Policies naming 22855
22856Policies naming 22856
22861Policies naming 22861
22899Policies naming 22899
22902Policies naming 22902
22903Policies naming 22903
23071Policies naming 23071
23075Policies naming 23075
23470Policies naming 23470
23472Policies naming 23472
23473Policies naming 23473
23474Policies naming 23474
24071Policies naming 24071
24360Policies naming 24360
24361Policies naming 24361
24362Policies naming 24362
24363Policies naming 24363
24370Policies naming 24370
24371Policies naming 24371
27120Policies naming 27120
27125Policies naming 27125
27130Policies naming 27130
27132Policies naming 27132
27134Policies naming 27134
27137Policies naming 27137
27138Policies naming 27138
27327Policies naming 27327
27337Policies naming 27337
27412Policies naming 27412
27446Policies naming 27446
27447Policies naming 27447
27486Policies naming 27486
27487Policies naming 27487
27632Policies naming 27632
28035Policies naming 28035
28039Policies naming 28039
28041Policies naming 28041
28060Policies naming 28060
28080Policies naming 28080
28090Policies naming 28090
28104Policies naming 28104
28110Policies naming 28110
28118Policies naming 28118
28119Policies naming 28119
28124Policies naming 28124
28285Policies naming 28285
28289Policies naming 28289
28292Policies naming 28292
28296Policies naming 28296
28297Policies naming 28297
28298Policies naming 28298
28299Policies naming 28299
28344Policies naming 28344
29805Policies naming 29805
29806Policies naming 29806
29807Policies naming 29807
29819Policies naming 29819
29820Policies naming 29820
29822Policies naming 29822
29823Policies naming 29823
29824Policies naming 29824
29825Policies naming 29825
29826Policies naming 29826
29827Policies naming 29827
29828Policies naming 29828
29835Policies naming 29835
29840Policies naming 29840
29845Policies naming 29845
29846Policies naming 29846
29848Policies naming 29848
29861Policies naming 29861
29866Policies naming 29866
29867Policies naming 29867
29868Policies naming 29868
29875Policies naming 29875
29876Policies naming 29876
29877Policies naming 29877
29879Policies naming 29879
29880Policies naming 29880
29881Policies naming 29881
29882Policies naming 29882
29888Policies naming 29888
29893Policies naming 29893
29914Policies naming 29914
29915Policies naming 29915
29916Policies naming 29916
30140Policies naming 30140
30400Policies naming 30400
30410Policies naming 30410
30420Policies naming 30420
30430Policies naming 30430
30435Policies naming 30435
30450Policies naming 30450
30460Policies naming 30460
30462Policies naming 30462
30465Policies naming 30465
30520Policies naming 30520
30620Policies naming 30620
30802Policies naming 30802
30930Policies naming 30930
31240Policies naming 31240
31253Policies naming 31253
31254Policies naming 31254
31255Policies naming 31255
31256Policies naming 31256
31257Policies naming 31257
31259Policies naming 31259
31267Policies naming 31267
31276Policies naming 31276
31287Policies naming 31287
31288Policies naming 31288
31295Policies naming 31295
31296Policies naming 31296
31297Policies naming 31297
31298Policies naming 31298
31525Policies naming 31525
31535Policies naming 31535
31536Policies naming 31536
31541Policies naming 31541
31624Policies naming 31624

And 932 more in the original policy.

All UnitedHealthcare policies · UnitedHealthcare prior authorization CPT list

Disclaimer

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.