Prior Authorization Documents

Prior Authorization Guidance

This document provides information about UnitedHealthcare Dental’s Prior Authorization Guidance requirements by CDT code for Children’s Dental Services.

Annual Prior Authorization Report

UnitedHealthcare Dental annually reviews our dental plan Annual Prior Authorization Report in accordance with Texas Government Code Section §533.00283. The policies are normally reviewed annually for the previous Texas Health and Human Services fiscal year (Sept. 1 through Aug. 31).

Other Prior Authorization Information

UHC Dental TX Criteria for Dental Therapy Under General Anesthesia.