UnitedHealthcare Community Plan (Medicaid, national policies) MNT coverage: codes and telehealth
The short answerUnitedHealthcare Community Plan has no national medical policy for MNT. Its reimbursement policies say registered dietitians report 97802 rather than E/M code 99401, and they list dietitians as telehealth practitioners. State rules can override.
By Javier Alvarez · Updated · 1 min read
1 row: UnitedHealthcare Community Plan. Public policy, not the member's benefits.
UnitedHealthcare Community Plan (Medicaid, national policies)
Medicaid managed care (UnitedHealthcare Community Plan reimbursement policies, all states, with state exceptions) · All states
| 97802 | Not named (named only as the correct code for dietitians instead of 99401. Coverage follows the state Medicaid manual.) [1] |
|---|---|
| 97803 | Not named (not named at the national level. New Jersey and Washington state exceptions name it.) [2] |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | These policies apply to the UnitedHealthcare Community Plan Medicaid product, on CMS-1500 claims, for network and non-network providers. Each policy says state or federal requirements and the benefit documents can supersede it. [1][2] |
| Diagnoses | Not published: call the payer. |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | A telehealth modifier (GQ, GT, G0 or 95) is required to show a service was delivered by telehealth. POS 02 or 10 is recognized but not required. [2] |
| Telehealth rules | The telehealth policy lists a registered dietitian or nutrition professional among the practitioners eligible to be paid for telehealth. Some states (for example Colorado, Pennsylvania, Washington) are listed as not following this policy, and others have their own code lists. Check the state exceptions. [2] |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
| Who can bill | Nutritionist (Registered Dietician) is on the list of nonphysician professionals who may not report E/M codes under their own tax ID. The policy's Q&A tells dietitians not to use 99401 and to report MNT codes such as 97802 instead. [1] |
| Also | The policies point to each state's Medicaid regulations, manuals and fee schedules as the source for what is covered. Look for a state row for New Jersey or Washington. [1] |
- UnitedHealthcare Community Plan: Nonphysician Health Care Professionals Billing Evaluation and Management Codes Policy, Professional (2026R0112E), checked October 30, 2026
- UnitedHealthcare Community Plan: Telehealth/Virtual Health Policy, Professional and Facility (2026R7133S), checked October 30, 2026
UnitedHealthcare Community Plan by state
Where UnitedHealthcare Community Plan publishes a state rule that changes the row, the state has its own page:
- UnitedHealthcare Community Plan of New Jersey: New Jersey Medicaid exception in the UnitedHealthcare Community Plan nonphysician billing policy (2026R0112E). A separate quick reference guide covers MLTSS nutritional supports.
Check an UnitedHealthcare Community Plan claim against the row
Before an UnitedHealthcare Community Plan (Medicaid, national policies) claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare UnitedHealthcare Community Plan with another payer, then download the PDF of what you see.