UnitedHealthcare corporate headquarters in Minnetonka, MN. Credit: Ken Wolter/Shutterstock

UnitedHealthcare has notified providers that it will eliminate prior authorizations for home health services managed by Optum Home & Community (formerly NaviHealth). The change, which applies to Medicare Advantage and dual special needs plans, will take effect on April 1 in more than 30 states.

“We’ll no longer require prior authorization or concurrent review processes for home health services managed by Home & Community,” the company said. “These changes are part of ongoing efforts to reduce total UnitedHealthcare prior authorization volume. They represent the next step in our ongoing efforts to modernize the prior authorization process and simplify the health care experience for members and health care professionals.”

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
NOT FOR REPRINT

© 2025 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Consumer Driven Health Care
Core and Group Health
Health Care Reform
Employer-Paid