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On June 20, 2024, UnitedHealth Group issued a press release offering an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. While the investigation to determine whose data is impacted is not yet complete, UnitedHealth Group has started the process to notify impacted customers and shared a website that provides additional information. UnitedHealth Group continues to offer credit monitoring and identity protection services, as well as a dedicated contact center to address questions. You can learn more about the support resources by visiting Change Healthcare Cyberattack Support and/or by reaching out to the contact center at 1-866-262-5342 with any questions.

InterQual Criteria Rollout

June 28, 2022

Dear Provider,

We value everything you do to deliver quality care to our members – your patients – and ensuring they have a positive healthcare experience.

As part of the recent ‛Ohana Health Plan Acquisition, effective October 1, 2022, all markets currently utilizing Milliman Clinical Care Guidelines (MCG) will transition to InterQual for Medicare & Medicaid Inpatient Physical Health (Inpatient Admissions, Post-acute Care, Skilled Nursing Facility, Inpatient Rehabilitation, and Long-term Acute Care), Outpatient Physical Health, Inpatient Behavioral Health, and Outpatient Behavioral Health Services.

InterQual’s innovative software offers system-wide solutions that ensure appropriate and cost-effective care for your patients – our members.

For questions or information regarding our policies and procedures, visit our website at www.centene.com. You can also contact your Provider Relations representative.

Thank you for all you do to provide quality care to our members.                

Sincerely,

‛Ohana