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.
The UnitedHealthcare Community Plan of Arizona Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
The UnitedHealthcare Community Plan of California Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of California Care Provider Manual.
The following guides are the most current revisions. Please use these for reference until you are notified of updates.
The UnitedHealthcare Community Plan of the District of Columbia, Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plan:
View the UnitedHealthcare Community Plan of the District of Columbia Care Provider Manual
The UnitedHealthcare Community Plan of Florida Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans.
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 Care Provider Manual.
The UnitedHealthcare Community Plan of Indiana Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
The UnitedHealthcare Community Plan of Kansas Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
The UnitedHealthcare Community Plan Care Provider Administrative Guide has been approved by the State of Kansas.
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:
View the UnitedHealthcare Community Plan of Kentucky Care Provider Manual
The UnitedHealthcare Community Plan of Louisiana Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the 2023 UnitedHealthcare Community Plan of Louisiana Care Provider Manual
The UnitedHealthcare Community Plan of Maryland Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of Maryland Care Provider Manual
The UnitedHealthcare Community Plan of Massachusetts Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
The UnitedHealthcare Community Plan of Michigan Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of Michigan Care Provider Manual.
To view our Rapid Dispute Process for non-contracted hospitals providing services to UnitedHealthcare Community Plan Medicaid member, visit Michigan.gov.
The UnitedHealthcare Community Plan of Minnesota Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plan:
View the 2023 UnitedHealthcare Community Plan of Minnesota Care Provider Manual
View the 2022 UnitedHealthcare Community Plan of Minnesota Care Provider Manual
The UnitedHealthcare Community Plan of Mississippi Physician, Health Care Professional, Facility and Ancillary Care Provider Manuals apply to the following plans:
View the UnitedHealthcare Community Plan of Mississippi Care Provider Manual for CHIP.
View the UnitedHealthcare Community Plan of Mississippi Care Provider Manual for MississippiCAN.
The UnitedHealthcare Community Plan of Missouri Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of Missouri Care Provider Manual.
The UnitedHealthcare Community Plan of Nebraska Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of Nebraska Care Provider Manual.
The UnitedHealthcare Community Plan of New Jersey Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of New Jersey Care Provider Manual.
The UnitedHealthcare Community Plan of New York Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of New York Care Provider Manual.
The UnitedHealthcare Community Plan of North Carolina Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of North Carolina Care Provider Manual.
The UnitedHealthcare Community Plan of Ohio Physician, Health Care Professional, Facility and Ancillary Care Provider Manuals applies to the following plans:
View PDF of the UnitedHealthcare Community Plan of Ohio Care Provider Manual.
The UnitedHealthcare Community Plan of Oklahoma Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Dual Complete (HMO-SNP) Care Provider Administrative Guide.
The UnitedHealthcare Community Plan of Pennsylvania Physician, Health Care Professional, Facility and Ancillary Care Provider Manuals applies to the following plans:
Use the care provider manual for current plan information including claims reconsiderations, appeals and grievances.
View the UnitedHealthcare Community Plan of Pennsylvania Care Provider Manual.
The UnitedHealthcare Community Plan of Rhode Island Physician, Health Care Professional, Facility and Ancillary Care Provider Manuals applies to the following plans:
View the UnitedHealthcare Community Plan of Rhode Island Care Provider Manual.
The UnitedHealthcare Community Plan of Tennessee Physician, Health Care Professional, Facility and Ancillary Care Provider Manuals apply to the following plans:
UnitedHealthcare Community Plan of Texas Physician, Health Care Professional, Facility and Ancillary Care Provider Manuals apply to the following plans:
View the UnitedHealthcare Community Plan of Texas CHIP, STAR, STAR Kids, STAR+PLUS and the UnitedHealthcare Connected™ (Medicare-Medicaid Plan) Care Provider Manual (Updated April 21, 2023)
View the UnitedHealthcare Community Plan of Texas Nursing Facility Care Provider Manual (Last Modified 10.10.2022)
The UnitedHealthcare Community Plan of Virginia Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of Virginia Care Provider Manual
The UnitedHealthcare Community Plan of Washington Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of Washington Care Provider Manual.
The UnitedHealthcare Community Plan of Wisconsin Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans:
View the UnitedHealthcare Community Plan of Wisconsin Care Provider Manual.