United Healthcare Gold Card Laws

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New physician “gold card” law will cut prior authorization delays

(3 days ago) People also askDoes UnitedHealthcare have a gold card?The Gold Card status applies for most UnitedHealthcare members across UnitedHealthcare’s businesses — Commercial, Medicare Advantage and Medicaid. Qualifying care provider groups will follow a simple notification process for most procedure codes rather than the prior authorization process.Easing the prior authorization journey UnitedHealthcareuhc.comWhy do Texas physicians have a gold card?For Texas physicians, the gold card indicates they consistently meet prior authorization requirements and that state-regulated insurance companies will not delay their patients’ care. Prior authorization is costly, inefficient and responsible for patient care delays.New physician “gold card” law will cut prior authorization delaysama-assn.orgIs pre-authorization a 'gold card'?And in a similar survey from AMA, 24% of physicians said prior authorization was not just burdensome, but that it often caused their patients to abandon care. Now, some states are implementing prior authorization "gold card" laws, which exempt providers from pre-authorization of some services if they reach a certain approval rating over six months.'Gold card' laws let some providers skip prior authorization - Advisoryadvisory.comWhat is a gold card exemption?Commonly referred to as gold card legislation, H.B. 3459 establishes a continuous prior authorization exemption for physicians who earn a 90% approval rate on prior authorization requests for a given service over a period of six months. It is a relatively simple but, thus far, novel concept in state prior authorization legislation.Texas Establishes Gold Card for Prior Authorization Exemptionthe-rheumatologist.orgFeedbackUHCprovider.comhttps://www.uhcprovider.com/en/resource-library/New Texas gold card law streamlines prior authorizationsWEBBeginning Oct. 1, 2022, certain provisions of Texas House Bill 3459, as known as the “Texas gold card bill,” take effect. This new law reduces prior authorization requirements helping patients get the treatment they need when they need it. This law …

https://www.ama-assn.org/practice-management/prior-authorization/new-physician-gold-card-law-will-cut-prior-authorization#:~:text=Under%20a%20law%20that%20took%20effect%20this%20month,%E2%80%9Cgold%20carded%E2%80%9D%E2%80%94from%20prior%20authorization%20requirements%20for%20those%20services.

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Prior authorization reduction equals nearly 20 percent of overall

(3 days ago) WEBIn 2024, we’ll implement a national Gold Card program for provider groups that meet eligibility requirements. Qualifying provider groups will follow a simple …

https://www.uhcprovider.com/en/resource-library/news/2023/medical-prior-auth-code-reduction-august.html

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New physician “gold card” law will cut prior …

(1 days ago) WEBThe AMA has achieved recent wins in 5 critical areas for physicians. Under a law that took effect this month and is the first of its kind in the U.S., physicians who have a 90% prior authorization approval rate …

https://www.ama-assn.org/practice-management/prior-authorization/new-physician-gold-card-law-will-cut-prior-authorization

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“Gold card” approach to prior authorization introduced in Congress

(3 days ago) WEBMedicare Advantage plan-issued “gold cards” would only be applicable to items and services—excluding prescription drugs—and remain in effect for at least a …

https://www.ama-assn.org/practice-management/prior-authorization/gold-card-approach-prior-authorization-introduced-congress

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UnitedHealthcare cuts back prior authorization requirements

(7 days ago) WEBUnitedHealthcare will also implement a national “gold card” program in early 2024, allowing certain providers whose prior authorization requests are …

https://www.healthcaredive.com/news/unitedhealthcare-prior-authorization-changes-provider-reactions/646399/

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Easing the prior authorization journey UnitedHealthcare

(Just Now) WEBEasing the prior authorization journey. Prior authorization, or preauthorization, is a process through which health care providers obtain coverage approval from health plans prior to performing certain non …

https://www.uhc.com/news-articles/newsroom/easing-prior-authorizations

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In Line With AAFP Advocacy, UHC to Reform Prior …

(2 days ago) WEBEarly next year, UHC plans to launch a national gold card program designed to allow care delivery groups that meet eligibility requirements to forgo prior authorization requirements for most

https://www.aafp.org/news/practice-professional-issues/uhc-prior-auth-changes.html

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UnitedHealthcare gold card could cut 10% of prior authorization …

(9 days ago) WEBEmail. UnitedHealthcare's plans to implement a gold-card program in 2024 might cut another 10 percent of its prior authorization volumes on top of a 20 percent …

https://www.beckerspayer.com/payer/unitedhealthcare-gold-card-could-cut-10-of-prior-authorization-volumes-ceo-says.html

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Texas Establishes Gold Card for Prior Authorization Exemption

(5 days ago) WEBOn Sept. 1, 2021, a new law went into effect in Texas that sets a new gold standard for prior authorization legislation. Commonly referred to as gold card legislation, H.B. 3459 …

https://www.the-rheumatologist.org/article/texas-establishes-gold-card-for-prior-authorization-exemption/

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Texas law eases prior auth burdens, but payers see it as …

(5 days ago) WEBSet to take effect on Sept. 1, the law prohibits health insurers from requiring pre-approval for services if a provider earns “gold card” status. A provider can earn the status if they have a

https://medcitynews.com/2021/07/texas-law-eases-prior-auth-burdens-but-payers-see-it-as-a-dangerous-move/

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UnitedHealthcare shifts colonoscopy requirements from - CNN

(Just Now) WEBProviders who submit advance notifications will be eligible for UnitedHealthcare’s Gold Card program, which is expected to be implemented next …

https://www.cnn.com/2023/06/01/health/unitedhealthcare-colonoscopy-requirements/index.html

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2024 Individual Exchange plans in Texas quick reference guide

(5 days ago) WEBUnitedHealthcare Individual Exchange plans in Texas, also referred to as UnitedHealthcare Individual & Family ACA Marketplace plans. For most Individual …

https://www.uhcprovider.com/content/dam/provider/docs/public/health-plans/exchanges/guides/TX-Exchange-2024-QRG.pdf

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UnitedHealthcare cutting 20% of prior authorizations - Becker's …

(1 days ago) WEBUnitedHealthcare is moving forward with a plan to eliminate 20 percent of its current prior authorizations and implement a national gold-card program.. Code …

https://www.beckerspayer.com/payer/unitedhealthcare-cutting-20-of-prior-authorizations.html

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'Gold card' laws let some providers skip prior authorization

(Just Now) WEBThe first state to implement such a law was West Virginia in 2019. Under the law, providers are not required to seek prior authorization for a certain service if they …

https://www.advisory.com/daily-briefing/2022/05/05/prior-authorization

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Prior authorization 'gold card' bills spark conversations in states

(5 days ago) WEBThe AMA and other groups have endorsed gold card policies since 2017, and limited programs from payers existed before then. The policies are picking up …

https://www.modernhealthcare.com/insurance/prior-authorization-gold-card-bills-spark-conversations-states

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States Move To Curb Prior Authorization Requirements - Medscape

(3 days ago) WEBThe Texas Department of Insurance estimated that only 3.3% of licensed physicians in the state have met "gold card" status since the bill became law in 2021, …

https://www.medscape.com/viewarticle/992477

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Summary of Benefits and Coverage: What this Plan

(1 days ago) WEBStandard High Gold: UHC Navigate Gold 0 Coverage Period: 01/01/2022 –12/31/2022 Coverage for: Family Plan Type: INS Page 1 of 7 The Summary of Benefits and …

https://www.uhc.com/content/dam/uhcdotcom/en/iex-marketplace/ma/Standard-High-Gold-UHC-Navigate-Gold-0-2022.pdf

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Contact Us - The Empire Plan's Provider Directory

(6 days ago) WEBOstomy Supplies - Byram Healthcare Centers. 1-800-354-4054. Questions? If you have questions about The Empire Plan's Participating Provider Program or Managed Physical …

http://www.empireplanproviders.com/contact.htm

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The Empire Plan's Provider Directory

(2 days ago) WEBThere is a nationwide network of more than 1.2 million UnitedHealthcare Empire Plan participating providers, including over 70,000 Managed Physical Network (MPN) …

https://empireplanproviders.com/

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Advance Notification for gastroenterology endoscopy services

(7 days ago) WEBAdvance notification for medically urgent procedures can be provided through the UnitedHealthcare Provider Portal or by calling UnitedHealthcare and clearly indicating …

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/Prior-Auth-Gastroenterology-FAQ.pdf

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REAL ID NJ is Coming May 7, 2025 NJMVC REAL ID

(Just Now) WEBStarting May 7, 2025, you must have a REAL ID compliant driver license/ID to fly within the U.S., unless you use a U.S. passport or another federally approved form of identification. …

https://www.nj.gov/mvc/realid/

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