A message from UnitedHealthcare regarding their physical and occupational therapy benefit:

At UnitedHealthcare, we are proud to serve your clients health care needs, and want to keep you informed of changes in our program. Currently, the physical and occupational therapy benefit is administered by OrthoNet. This notice is to inform you that, effective for services occurring on or after April 1, 2009, ACN Group, Inc. (OptumHealth) will begin administering the physical and occupational therapy benefit for UnitedHealthcares Oxford plans.

OptumHealth is a leading physical medicine company that has significant experience in promoting best practices and evidence-based health care, while working with physical and occupational therapists as well as other providers of therapy services and their patients.

What does this mean for your clients and their employees?

As with the current arrangement, please be aware that providers will need to collect some basic information from employees regarding their current conditions, for submission to OptumHealth. Please advise your clients and their employees to be prepared to provide this information at their next visit. This information is helpful to both the provider and OptumHealth in understanding the current status of the members condition and avoiding the incidence of denials and delays in the claims process. The change to OptumHealth has no impact on employees current benefits and, therefore, they will not experience any changes in their physical therapy or occupational therapy services.

Note: If your group has a plan that requires referrals for access to physical and occupational therapy services, employees are still required to obtain a referral prior to accessing care. We are notifying all affected employer groups and members. See link below for sample letters.

To view the full article, please click on this link:

http://www.launchfax.com/oxhp/Oxford%20PT.OT%20Provider%20Changes_ACN%20Group%20Broker%20Notice.pdf

Return