Community Plan Care Provider Manuals for Medicaid Plans By State

The UnitedHealthcare Community Plan care provider administrative manuals contain helpful information on topics such as prior authorization, processing claims and protocol information, as well as UnitedHealthcare contact information and other resources.

For UnitedHealthcare Dual Special Needs (SNP) Plans, please view the comprehensive UnitedHealthcare Administrative Guide.

The UnitedHealthcare Community Plan of Arizona Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:

• AHCCCS Complete Care / Medicaid
  
• Developmentally Disabled (DD)
• Arizona Long Term Care System Elderly and Physical Disability (ALTCS EPD)
  

Care Provider Manuals

• UnitedHealthcare Community Plan AHCCCS Complete Care, DD and ALTCS Provider Manual
• UnitedHealthcare Dual Complete and Dual Complete One (HMO SNP) Care Provider Manual
  
• Dental Care Provider Manual for ACC, ALTCS EPD and DD

The UnitedHealthcare Community Plan of California Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:

• UnitedHealthcare Community Plan of California – Medi-Cal

The following guides are the most current revisions. Please use these for reference until you are notified of updates.

Care Provider Manuals

• Colorado Rocky Mountain Health Plans Behavioral Health Care Provider Manual
• Colorado Rocky Mountain Health Plans Care Provider Manual

The UnitedHealthcare Community Plan of the District of Columbia, Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plan:

• District of Columbia Dual Choice

Care Provider Manuals

The UnitedHealthcare Community Plan of Florida Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans.

• Florida Long Term Care (LTC) Medicaid Managed Care
• Florida M*Plus MMA Medicaid

Care Provider Manuals

The UnitedHealthcare Community Plan of Hawaii Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:

• UnitedHealthcare Community Plan of Hawaii - QUEST Integration Program
  

Care Provider Manuals

The UnitedHealthcare Community Plan of Indiana Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:

• Indiana Hoosier Care Connect
• Indiana PathWays for Aging

Care Provider Manuals

• UnitedHealthcare Community Plan of Indiana Care Provider Manual - Hoosier Care Connect
• UnitedHealthcare Community Plan of Indiana Care Provider Manual - PathWays for Aging Provider Manual
• Dental Provider Manual
• Vision Provider Reference Guide
  

The UnitedHealthcare Community Plan of Kansas Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:

• UnitedHealthcare Community Plan of Kansas - KanCare

The UnitedHealthcare Community Plan Care Provider Administrative Guide has been approved by the State of Kansas.

Care Provider Manuals

• UnitedHealthcare Community Plan of Kansas Care Provider Manual
• Pharmacy Provider Manual
  
• SkyGen Dental Provider Manual

Other Resources

UnitedHealthcare Community Plan of Kentucky supports the Kentucky state goals of increased access, improved health outcomes and reduced costs by offering Medicaid benefits to the following members:

• Children, from birth through 18 years of age, eligible for Medicaid under expanded pediatric coverage provisions of the Social Security Act.
  
• Pregnant women eligible for Medicaid under expanded maternity coverage provisions of the Social Security Act.
  
• Children eligible for the Children’s Health Insurance Program (CHIP).
  
• Categorically needy — blind and disabled children and adults who are not eligible for Medicare.
  
• 19–64 years old who are not eligible for another type of Medicaid and who have an income of less than 138% of the federal poverty level.
• Medicaid-eligible families.
  

Care Provider Manuals

The UnitedHealthcare Community Plan of Louisiana Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:

• UnitedHealthcare Community Plan of Louisiana - Healthy Louisiana

Care Provider Manuals

The UnitedHealthcare Community Plan of Maryland Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:

• UnitedHealthcare Community Plan of Maryland - HealthChoice

Care Provider Manuals

The UnitedHealthcare Community Plan of Massachusetts Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:

• UnitedHealthcare Community Plan of Massachusetts - Senior Care Options and One Care

Care Provider Manuals

The UnitedHealthcare Community Plan of Michigan Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:

• UnitedHealthcare Community Plan of Michigan
• UnitedHealthcare Community Plan of Michigan - Healthy Michigan Plan
• UnitedHealthcare Dual Complete®

Care Provider Manuals

Rapid Dispute Process

To view our Rapid Dispute Process for non-contracted hospitals providing services to UnitedHealthcare Community Plan Medicaid member, visit Michigan.gov.