Capitation and/or delegation supplement - 2021 UnitedHealthcare Administrative Guide

This supplement is for participating physicians, care providers, facilities and ancillary providers, and delegated accountable care organizations (ACOs) capitated for certain UnitedHealthcare products. It applies to all benefit plans for members who:

  1. Have been assigned to or have chosen a care provider who receives a capitation payment from us for that member, and
  2. Are covered under an applicable benefit plan under UnitedHealthcare.

This supplement controls if it conflicts with the main guide. For protocols, policies and procedures not referenced in this supplement, refer to the main guide.