Navigating UnitedHealthcare's addiction treatment coverage can be complex. This guide offers step-by-step instructions for healthcare providers on verifying patient benefits, understanding medical necessity (ASAM criteria), obtaining prior authorizations, managing concurrent reviews, and appealing denials. Mastering these processes is crucial for streamlining workflows, minimizing payment issues, and ensuring patients receive necessary care under their UHC plans. Key steps include accurate benefit verification, comprehensive documentation of medical necessity, and timely submission of authorization and appeal requests.
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Contingency Management is Coming. Is Your Addiction Treatment Center Ready?
Contingency Management is a treatment modality that intermittently rewards clean time and program participation with cash or prizes. While some have moral objections to “paying an addict to get sober,” others point to the fact that, unlike a lot of treatments for meth, cocaine and stimulant abuse, Contingency Management (CM) actually works.