Credentialing Corner – August 2024

Peter’s Health Partners & UnitedHealthcare Contract Update for Our Providers 

Keeping you informed: 

As you know, St. Peter’s Health Partners (SPHP) is currently in negotiations with UnitedHealthcare (UHC) regarding reimbursement rates. Unfortunately, these negotiations haven’t resulted in an agreement as of yet. This update details the impact on patients and your practice. 

Here’s what you need to know: 

Effective July 1, 2024: 

  • SPHP is considered out-of-network for most UHC plans, including: 

  • Employer-sponsored commercial (excluding NYS Empire Plan) 

  • Medicare Advantage 

  • Medicaid 

  • Essential 

It may disrupt access for patients with these UHC plans. 

Which providers and facilities are impacted? 

  • Medical Group Providers 

  • St. Peter’s Health Partners Medical Associates 

  • Samaritan Hospital Clinics and Providers 

  • St. Peter’s Hospital Clinics and Providers 

  • Trinity Health Anesthesia Group of New York 

  • Hospitals, Facilities & Services 

  • Hospitals, Facilities & Services 

  • St. Peter’s Hospital 

  • Samaritan Hospital 

  • Sunnyview Rehabilitation Hospital 

  • Eddy Visiting Nurse & Rehabilitation Association 

  • Empire Home Infusion Services, including Northeast Home Medical Equipment 

  • The Community Hospice 

Important Exceptions: 

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