Board Amends MMA Policy on Firearm Safety
September 18, 2025
The MMA Board of Trustees voted at its September 15 meeting to amend MMA policy on firearm safety, in an effort to address current gaps and simplify existing policy.
September 5, 2024
On October 1, UnitedHealthcare will launch its National Gold Card Program, through which qualified practices will be exempt from submitting prior authorization requests for select services.
Practices don’t need to apply to the program. However, provider care group tax ID numbers (TINs) must meet the following eligibility criteria:
Be in network for at least one UnitedHealthcare health plan such as UnitedHealthcare commercial, UnitedHealthcare Individual Exchange, UnitedHealthcare® Medicare Advantage and UnitedHealthcare Community plans, and
Meet a minimum annual volume of at least 10 eligible prior authorizations each year for two consecutive years across Gold Card-eligible codes, and
Have a prior authorization approval rate of 92% or more across all Gold Card-eligible codes for each of the review years. This rate applies to prior authorization status for Gold Card eligible codes, across all participating lines of business, after all appeals were exhausted.
Practices awarded Gold Card status will be required to complete a simple advance notification for services. UnitedHealthcare maintains that these advance notifications benefit patients and providers by facilitating care coordination, protecting patient costs, and identifying regulatory exclusions that may be imposed by the state of Minnesota.
For more information, visit the UnitedHealthcare Gold Card Program website and FAQ.
The MMA will continue to update its members on the implementation of the program. Please contact Adrian Uphoff, health policy analyst, with questions.
September 18, 2025
The MMA Board of Trustees voted at its September 15 meeting to amend MMA policy on firearm safety, in an effort to address current gaps and simplify existing policy.
September 18, 2025
On September 12, the MMA submitted a formal comment to the Centers of Medicare and Medicaid Services (CMS) on the proposed rule for the 2026 Medicare Physician Fee Schedule (MPFS).
September 18, 2025
Starting January 1, 2026, the Centers for Medicare and Medicaid Services (CMS) will launch a pilot program that will a) apply new prior authorization requirements to select services for traditional Medicare enrollees in six states and b) hire private companies to use AI in prior authorization determinations.