January 1, 2022 at 12:00 AM CT

Applicable to all states except NC.

Capitation and/or delegation supplement - 2022 UnitedHealthcare Administrative Guide

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

  1. Have been assigned to or have chosen a health 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.