Category: Prior Authorization Insurance Carrier Updates

For some specific DME equipment, prior auth requirenments will align with durable medical equipment (DME) prior authorization requirements of the UnitedHealthcare® Dual Complete® Special Needs Plan (DSNP).

These requirenments take effect on 10/1/25 and apply to members with UnitedHealthcare Community Plan District of Columbia as well as integrated DSNP plans for Long-Term Care Services and Supports (LTSS).

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Some of these DMEs are:

Patient lifts
Power wheelchairs
Respiratory support devices

Among others.

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These prior authorization requirenments apply to the following codes:

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To request an auth:

Phone: Call 888-702-2202

Fax: 866-968-7582. The fax form is available at Prior Authorization Forms on UHC website.

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Or request the auth on the portal:

Sign in to the UnitedHealthcare Provider Portalopen_in_new with your One Healthcare ID

If you don’t have a One Healthcare ID, register now

From the left-hand tabs, select Prior Authorizations & Notifications

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