Are you a provider that accepts UHC commercial or Oxford NY, and CT members? Then this blog post is for you.

What is changing?

• As per UHC- effective on DOS 10/1/26 and there after an advance notice will no longer be required for GI procedures
• As per UHC- effective on DOS 10/1/26 and thereafter the SOS (site of care) review will end for GI services including a subset of GI and screening GI services when perform in hospital outpatient setting (22,19)

Which service this change will apply to?

• Esophagogastroduodenoscopies (EGD
• Capsule endoscopies
• Diagnostic and surveillance colonoscopies

Find this information useful? Follow for more!

• UHC: GI endoscopy advance notification and SOS update
• Healthfirst Prior auth updates 11/1/26
• NYS Medicaid: proper billing and coding for HBOT
• NYS Medicaid Telehealth updates
• MA Common Wealth Alliance: new prior auth req BH services