Prior Authorization Requirements (UnitedHealthcare Connected TX Medicare‑Medicaid Plan)
Lists services, CPT/HCPCS codes, diagnosis guidance, effective dates and submission instructions for prior authorization requirements applicable to providers participating with UnitedHealthcare Connected TX (Medicare‑Medicaid Plan). Affects inpatient and outpatient services and out-of-network providers except for emergency/urgent care.
No material clinical or coverage changes in this revision.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.