Welcome to the New Home for Care Provider Resources

For UnitedHealthcare Community Plan of Arizona

Welcome to the Home for Arizona Community Plan Care Provider Resources

For UnitedHealthcare Community Plan of Arizona

Skip left navigation

UnitedHealthcare Community Plan of Arizona Homepage

We know you don't have time to spare, so we put all the UnitedHealthcare Community Plan resources you need in one place. Use the navigation on the left to quickly find what you're looking for. Be sure to check back frequently for updates.

Provider Call Center

1-800-445-1638, available from 8:00 a.m. - 5:00 p.m. Central Time.

Arizona AHCCCS Complete Care / Medicaid Contact Information

Mailing Address

UnitedHealthcare Community Plan
1 East Washington, Suite 900
Phoenix, AZ 85004

Claims & Medical Records Mailing Address

UnitedHealthcare Community Plan
PO Box 5290
Kingston, NY 12402-5290

Behavioral Health Claims & Medical Records Mailing Address

United Behavioral Health
PO Box 30760
Salt Lake City, UT 84130-0760

Member Appeals & Provider Claim Disputes Mailing Address

UnitedHealthcare Community Plan
Attn: Appeals & Claim Disputes
1 East Washington, Suite 900
Phoenix, AZ 85004 

Developmentally Disabled Children’s Rehabilitative Services (DD-CRS) Contact Information

Mailing Address

UnitedHealthcare Community Plan
1 East Washington, Suite 900
Phoenix, AZ 85004

Claims & Medical Records Mailing Address

UnitedHealthcare Community Plan
PO Box 5290
Kingston, NY 12402-5290

Behavioral Health Claims & Medical Records Mailing Address

United Behavioral Health
PO Box 30760
Salt Lake City, UT 84130-0760

Member Appeals & Provider Claim Disputes Mailing Address

UnitedHealthcare Community Plan
Attn: Complaint and Appeals Department
1 East Washington, Suite 900
Phoenix, AZ 85004 

Long Term Care Contact Information

Long Term Care Provider Call Center

1-800-293-3740, available from 8:00 a.m.- 5:00 p.m. Arizona Time

Mailing Address

UnitedHealthcare Community Plan
1 East Washington, Suite 900
Phoenix, AZ 85004

Claims & Medical Records Mailing Address 

UnitedHealthcare Community Plan
PO Box 5290
Kingston, NY 12402-5290

Behavioral Health Claims & Medical Records Mailing Address

United Behavioral Health
PO Box 30760
Salt Lake City, UT 84130-0760

Member Appeals & Provider Claim Disputes Mailing Address

UnitedHealthcare Community Plan
Long Term Care Claims
Attn: Provider Claim Dispute Coordinator
1 East Washington Street, Suite 900
Phoenix, AZ 85004 

UnitedHealthcare Dual Complete One (HMO-SNP) Contact Information

Mailing Address

UnitedHealthcare Community Plan
1 East Washington, Suite 900
Phoenix, AZ 85004

Claims & Medical Records Mailing Address

UnitedHealthcare Community Plan
PO Box 5290
Kingston, NY 12402-5290

Behavioral Health Claims & Medical Records Mailing Address

United Behavioral Health
PO Box 30760
Salt Lake City, UT 84130-0760

Member Appeals & Provider Claim Disputes Mailing Address

UnitedHealthcare Dual Complete
Attn: Appeals
PO Box 31364
Salt Lake City, UT 84131-0364

Part C Appeals and Grievance Department

UnitedHealthcare Community Plan
Attn: Complaint and Appeals Department
PO Box 31364
Salt Lake City, UT 84131-0364

Part D Appeals and Grievance Department

Attn: CA124-0197
PO Box 6106
Cypress, CA 90630

For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210.

Member dental plan and benefit information can be found at UHCCommunityPlan.com/AZ and myuhc.com.

UnitedHealthcare Dental Provider Portal 

Dental practitioners that are currently serving Mediciad plans can access Community & State dental information by logging into uhcdental.com under Community & State.
.

Behavioral Health Providers

Learn how to join the Behavioral Health Network, review Community Plan Behavioral Health information, or submit demographic changes at Community Plan Behavioral Health.

Facility/Hospital-Based Providers, Group/Practice Providers and Individually-Contracted Clinicians

The state-specific requirements and process on how to join the UnitedHealthcare Community Plan network is found in the UnitedHealthcare Community Plan Care Provider Manuals.  

Learn about requirements for joining our network

Overview

The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to:

  • Promote quality of care
  • Strengthen efforts to reform the delivery of care to individuals covered under Medicaid and Children’s Health Insurance Plans (CHIP)
  • Strengthen program integrity by improving accountability and transparency

Enhance policies related to program integrity With the Medicaid Managed Care Rule, CMS updated the type of information managed care organizations are required to include in their care provider directories.

Resources

Visit UHCCommunityPlan.com/AZ for current member plan information including member handbooks, sample member ID cards, provider directories, dental plans, vision plans and more.

Plan information is available for:

  • Arizona Complete Care / Medicaid
  • Arizona Developmentally Disabled Children’s Rehabilitative Services (DD-CRS)
  • Arizona Long Term Care 

Member plan and benefit information can also be found at UHCCommunityPlan.com/AZ and myuhc.com.

Member Eligibility

Verifying Member Eligibility through AHCCCS Online / State of Arizona

Reporting Fraud, Waste or Abuse to Us

When you report a situation that could be considered fraud, you’re doing your part to help save money for the health care system and prevent personal loss for others. If you suspect another provider or member has committed fraud, waste or abuse, you have a responsibility and a right to report it. 

Taking action and making a report is an important first step. After your report is made, we will work to detect, correct and prevent fraud, waste, and abuse in the health care system.

Call us at 1-844-359-7736 or visit uhc.com/fraud to report any issues or concerns.  

How to Report Fraud, Waste or Abuse to the State of Arizona

The Office of Inspector General for the State of Arizona provides a way for members, plans, providers, and the public to report all forms of suspected fraud, waste or abuse of the program. We encourage medical professionals and their staff to review the information available on the AHCCCS website. 

Current News, Bulletins and Alerts

Obstetrical Ultrasound Reimbursement Policy Update: Quantity Limitations for UnitedHealthcare Community Plan of Arizona

Last Modified | 11.02.2018

Starting Dec. 1, 2018, UnitedHealthcare Community Plan will change the existing Obstetrical Ultrasound Policy to further align with Medicaid guidelines. Medicaid does not consider ultrasounds to be medically necessary if they are done only to determine the fetal sex or provide parents with a photograph of the fetus. A detailed ultrasound fetal anatomic examination is also considered medically unnecessary for a routine screening of a normal pregnancy.

Learn More
Updated Emergency and Non-Emergent Transportation and Billing Guidelines

Last Modified | 11.02.2018

When submitting claims for emergency and non-emergent transportation, it's important to follow these Arizona Health Care Cost Containment System (AHCCCS) guidelines so you can receive timely payment for your services.

Learn More
Provider Alert: Obstetrical Ultrasound Reimbursement Policy Update - Quantity Limitations

Last Modified | 11.01.2018

Starting Dec. 1, 2018, UnitedHealthcare Community Plan will change the existing Obstetrical Ultrasound Policy to further align with Medicaid guidelines. Medicaid does not consider ultrasounds to be medically necessary if they are done only to determine the fetal sex or provide parents with a photograph of the fetus. A detailed ultrasound fetal anatomic examination is also considered medically unnecessary for a routine screening of a normal pregnancy.

Learn More
Updated Guidelines for Checking Member Eligibility

Last Modified | 10.11.2018

Starting Jan. 1, 2019, providers should no longer use the Medifax system to verify eligibility for UnitedHealthcare Community Plan members.

Learn More
Billing the Correct Member ID Number for UnitedHealthcare Community Plan of Arizona

Last Modified | 09.24.2018

Information regarding the member ID numbers that should be used before and after the AHCCCS Complete Care implementation.

Learn More
View More News

HEDIS Medical Record Collection

Health Insurance Portability and Accountability Act (HIPAA) Information

HIPAA standardized both medical and non-medical codes across the health care industry and under this federal regulation, local medical service codes must now be replaced with the appropriate Healthcare Common Procedure Coding System (HCPCS) and CPT-4 codes. View our updated HIPAA information for UnitedHealthcare Community Plan.

Integrity of Claims, Reports, and Representations to the Government

UnitedHealth Group requires compliance with the requirements of federal and state laws that prohibit the submission of false claims in connection with federal health care programs, including Medicare and Medicaid. View our policy.

Disclaimer

If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. To see updated policy changes, select the Bulletin section at left.