UnitedHealthcare Ends Home Health Prior Authorization For Medicare Advantage & D-SNPs In 36 States & DC

On March 1, 2025, UnitedHealthcare announced that as of April 1, 2025, it would no longer require prior authorization review for home health services for members of its Medicare Advantage plans and Medicare-Medicaid dual eligible Special Needs Plans (D-SNPs) in 36 states and in the District of Columbia (DC). The change applies to prior authorization and concurrent review processes for home health services managed by Home & Community (formerly naviHealth). UnitedHealthcare will still require prior authorization for home health for Medicare Advantage and D-SNP members in Arizona, Delaware, Hawaii, Michigan, Minnesota, Mississippi, Missouri, Montana, New Hampshire, New . . .