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Effective September 1, 2006, the Consultant
Treatment Plan (CTP) for all services (except behavioral health)
will no longer be required. Primary Care Physicians will now be
able to enjoy greater flexibility when referring MD-Individual
Practice Association, Inc. (M.D. IPA) and Optimum Choice, Inc.
(Optimum Choice) members to Specialists. Beginning September
1, 2006, Primary Care Physicians may write a Referral for up
to four (4) visits in a six (6) month period.
Click Here to view/print a
quick reference sheet outlining the Referral policy.
Effective October 1, 2006, UnitedHealthcare's
Physician, Health Care Professional, Facility and Ancillary
Provider Administrative Guide and the new Mid-Atlantic
Regional Supplement, together with additional protocols
and payment policies, will replace and supersede the Manual
for Physicians and Health Care Practitioners and the
Facility Manual for all M.D.
IPA, Optimum Choice, MAMSI Life and Health Insurance Company
(MLH) and Alliance PPO, LLC (Alliance) customers.
If there are any inconsistencies between the
Physician, Health Care Professional, Facility and Ancillary
Provider Administrative Guide and the new Mid-Atlantic
Regional Supplement, the Mid-Atlantic Regional
Supplement prevails for M.D. IPA, Optimum Choice, MLH and
Alliance customers.
Click Here to view/print the
Physician, Health Care Professional, Facility and Ancillary
Provider Administrative Guide and the new Mid-Atlantic
Regional Supplement.
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