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2024-2025 年行为健康认证计划
在不限制法律、合同或联合行为健康 (“UBH”) 协议和政策规定的任何补救措施的情况下，本认证和重新认证计划 (“认证计划”) 旨在概述 UBH 的认证、重新认证、持续监控和行动政策，包括但不限于终止与为 UBH 成员提供护理和服务的临床医生和其他医疗保健专业人员 (“临床医生”) 和组织提供者 (“组织提供者”) (临床医生和组织提供者统称为“提供者”) 的协议。所有 UBH 网络临床医生和组织提供者均受认证计划、协议、网络手册及其任何和所有修订或更改的约束，并且应根据其条款和条件在允许的范围内一起阅读。
UnitedHealthCare质量参考指南：2024 Hedis，CMS D部分，CAHPS和HOS测量
由UnitedHealthCare保险公司或其分支机构提供的保险保险。健康计划的覆盖范围由亚利桑那州联合医疗公司（UnitedHealthcare，Inc。俄克拉荷马州俄勒冈州俄勒冈州俄勒冈州的Inc.，UnitedHealthCare，宾夕法尼亚州，Inc.健康计划（CT），Inc。，所有Savers保险公司或其他分支机构。由Optumhealth Care Solutions，LLC，Optumrx，Oxford Health Plann LLC，United Healthcare Services，Inc。或其他分支机构提供的行政服务。由美国行为健康计划，加利福尼亚州（USBHPC），联合行为健康（UBH）或其分支机构提供的行为健康产品。
UnitedHealthcare 的事先授权要求
保险由 UnitedHealthcare Insurance Company、All Savers Insurance Company、Oxford Health Insurance, Inc. 或其附属公司提供或通过其提供。健康计划保险由 UnitedHealthcare of Arizona, Inc.、UHC of California DBA UnitedHealthcare of California、UnitedHealthcare Benefits Plan of California、UnitedHealthcare of Colorado, Inc.、UnitedHealthcare of Oklahoma, Inc.、UnitedHealthcare of Oregon, Inc.、UnitedHealthcare of Texas, LLC、UnitedHealthcare Benefits of Texas, Inc.、UnitedHealthcare of Utah, Inc. 和 UnitedHealthcare of Washington, Inc.、Oxford Health Plans (NJ), Inc. 和 Oxford Health Plans (CT), Inc. 或其他附属公司提供。管理服务由 United HealthCare Services, Inc.、OptumRx、OptumHealth Care Solutions, LLC、Oxford Health Plans LLC 或其附属公司提供。行为健康产品由 US Behavioral Health Plan, California (USBHPC)、United Behavioral Health (UBH) 或其附属公司提供。CPT ® 是美国医学协会的注册商标。 PCA-1-20-01515-Clinical-WEB_05262020 © 2020 United HealthCare Services, Inc.
专业药房计划 - 医疗福利
由 UnitedHealthcare Insurance Company 或其附属机构提供或通过其提供的保险。由 UnitedHealthcare of Arizona, Inc.、UHC of California DBA UnitedHealthcare of California、UnitedHealthcare Benefits Plan of California、UnitedHealthcare of Colorado, Inc.、UnitedHealthcare of the Mid-Atlantic, Inc.、MAMSI Life and Health Insurance Company、UnitedHealthcare of New York, Inc.、UnitedHealthcare Insurance Company of New York、UnitedHealthcare of Oklahoma, Inc.、UnitedHealthcare of Oregon, Inc.、UnitedHealthcare of Pennsylvania, Inc.、UnitedHealthcare of Texas, Inc.、UnitedHealthcare Benefits of Texas, Inc.、UnitedHealthcare of Utah, Inc.、UnitedHealthcare of Washington, Inc.、Optimum Choice, Inc.、Oxford Health Insurance, Inc.、Oxford Health Plans (NJ)、Oxford Health Plans (CT), Inc.、All Savers Insurance Company、Tufts Health Freedom Insurance Company 或其他附属机构提供的健康计划。管理服务由 OptumHealth Care Solutions, LLC、OptumRx、Oxford Health Plans LLC、United HealthCare Services, Inc.、Tufts Health Freedom Insurance Company 或其他附属机构提供。行为健康产品由美国加州行为健康计划 (USBHPC)、United Behavioral Health (UBH) 或其附属机构提供。
除外药物政策 - UnitedHealthcare 商业计划
由 UnitedHealthcare Insurance Company 或其附属公司提供或通过其提供的保险。健康计划承保方包括 UnitedHealthcare of Arizona, Inc.、UHC of California DBA UnitedHealthcare of California、UnitedHealthcare Benefits Plan of California、UnitedHealthcare Community Plan, Inc.、UnitedHealthcare of Colorado, Inc.、UnitedHealthcare of Florida, Inc.、UnitedHealthcare of Georgia, Inc.、UnitedHealthcare of Illinois, Inc.、UnitedHealthcare of the Mid-Atlantic, Inc.、UnitedHealthcare of Mississippi, Inc.、MAMSI Life and Health Insurance Company、UnitedHealthcare of New Mexico, Inc.、UnitedHealthcare of New York, Inc.、UnitedHealthcare Insurance Company of New York、UnitedHealthcare of North Carolina, Inc.、UnitedHealthcare of Ohio, Inc.、UnitedHealthcare of Oklahoma, Inc.、UnitedHealthcare of Oregon, Inc.、UnitedHealthcare of Pennsylvania, Inc.、UnitedHealthcare of South Carolina, Inc.、UnitedHealthcare of Texas, Inc.、UnitedHealthcare Benefits of Texas, Inc.、UnitedHealthcare of Utah, Inc.、UnitedHealthcare of Washington, Inc.、UnitedHealthcare of Wisconsin, Inc. Optimum Choice, Inc.、Oxford Health Insurance, Inc.、Oxford Health Plans (NJ)、Oxford Health Plans (CT), Inc.、All Savers Insurance Company、Rocky Mountain Health Maintenance Organization Incorporated、Tufts Health Freedom Insurance Company 或其他附属机构。OptumHealth Care Solutions, LLC、OptumRx、Oxford Health Plans LLC、United HealthCare Services, Inc.、Tufts Health Freedom Insurance Company 或其他附属机构提供的管理服务。行为健康产品由美国加州行为健康计划 (USBHPC)、United Behavioral Health (UBH) 或其附属机构提供。