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Maidawat nga pilyen iti pagilyan nu sadinoka nga agsansanay.
UnitedHealthcare Community Plan Maryland Providers

You don't have time to spare: that's why we put all the documents you need in one place. Use the navigation menu on the left to find what you're looking for fast.

 

Current Provider Alerts

The E2 Strategy: Shared Decision Making (PDF 65.38 KB) - 2.16.2018 

Understanding Cultural Competency and the Americans with Disabilities Act (PDF 81.89 KB) - 1.18.2018 

Medicaid Managed Care Rule Presentation (PDF 90.71 KB) - 1.8.2018

Medicaid Managed Care Rule Update Frequently Asked Questions (PDF 81.15 KB) - 12.22.2017

 

 

Makiyinnuman Kadakami

Oras iti operasyon: 8:00 am - 6:00 pm EST
Provider Call Center: 877-842-3210
Member Services Number: 800-318-8821 (TTY 711),  Monday-Friday, 8:00 am to 7:00 pm EST 

Mailing Address:
UnitedHealthcare Community Plan
6220 Old Dobbin Lane
Columbia, MD  21045

Claims Mailing Address:
UnitedHealthcare Community Plan
PO Box 31365
Salt Lake City, UT 84131 

Utilization Denial & Appeals Department Mailing Address:
UM Denial & Appeals Department
PO Box 31365
Salt Lake City, UT 84131

Claims Appeals Mailing Address:
UnitedHealthcare Community Plan Appeals-Maryland
PO Box 31365
Salt Lake City, UT 84131

Credentialing Updates:
Contact the National Credentialing Center at 1-877-842-3210.

Report Health Care Fraud, Waste and Abuse: 844-359-7736 or uhc.com/fraud

 

Prior Authorization

Prior authorization is required for some services. A current list of prior authorization services, forms, and how to request authorization can be found on the "Prior Authorization Requirements" tab on the left menu. 

Maryland Specialty Referral Requirements

Referrals are required for most specialty services. The links below provide more information on our referral requirements including how to submit online referrals. 

Referral Information - FAQ (PDF 87.09 KB)
Referral Information - Quick Reference Guide (PDF 129.39 KB)
Maryland Uniform Consultation Form (PDF 41.57 KB)

Click here for Referral Submissions and Referral Status 

 

UnitedHealthcare Community Plan Medical & Drug Policies and Coverage Determination Guidelines

UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies and Coverage Determination Guidelines to assist us in administering health benefits. Dagitoy a pagalagadan ken pagannurotan ket maipaay para ti panangipakaammo a ranta, ken saan a mangbukel ti medikal a balakad.
View the guidelines

UnitedHealthcare Medicare Advantage Coverage Summaries

For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage Coverage Summaries Manual and corresponding policy update bulletins here

Integridad ti Claims, Reports, ken Panangibagi iti Gobyerno

UnitedHealth Grupo ket dawatenna ti panagtungpal kadagiti dawdawaten ti pederal ken paglintegan ti estado nga mangiparit ti panagsumite ti palso a claims a maikamang iti pederal a programa ti pannakasalwad ti salun-at, pakairamanan ti Medicare ken Medicaid. 
View our policy (PDF 38.15 KB).

Panangilibak

If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. Tapno makita ti pakaaamo a panagbalbaliw ti pagalagadan, pilien ti Pagwarnakan a seksiyon iti kanigid.