As of Jan. 1. 2021, AHCCCS has implemented Electronic Visit Verification (EVV) for non-skilled in-home services (attendant care, personal care, homemaker, habilitation, respite) and for in-home skilled nursing services (home health). Important changes include the elimination of paper timesheets. Visit the AHCCCS website to learn more about what these changes mean for you.
Effective April 15, 2021, authorizations are required for non-COVID-19-related services for acute inpatient hospitalizations. You can submit your requests through the Prior Authorization and Notification Tool.
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.
1-800-445-1638, available from 8:00 a.m. - 5:00 p.m. Central Time.
UnitedHealthcare Community Plan
1 East Washington, Suite 900
Phoenix, AZ 85004
UnitedHealthcare Community Plan
PO Box 5290
Kingston, NY 12402-5290
United Behavioral Health
PO Box 30760
Salt Lake City, UT 84130-0760
UnitedHealthcare Community Plan
Attn: Provider Claim Disputes
1 East Washington, Suite 900
Phoenix, AZ 85004
UnitedHealthcare Community Plan
1 East Washington, Suite 900
Phoenix, AZ 85004
UnitedHealthcare Community Plan
PO Box 5290
Kingston, NY 12402-5290
United Behavioral Health
PO Box 30760
Salt Lake City, UT 84130-0760
UnitedHealthcare Community Plan
Attn: Provider Claim Disputes
1 East Washington, Suite 900
Phoenix, AZ 85004
1-800-293-3740, available from 8:00 a.m.- 5:00 p.m. Arizona Time
UnitedHealthcare Community Plan
1 East Washington, Suite 900
Phoenix, AZ 85004
UnitedHealthcare Community Plan
PO Box 5290
Kingston, NY 12402-5290
United Behavioral Health
PO Box 30760
Salt Lake City, UT 84130-0760
UnitedHealthcare Community Plan
Attn: Provider Claim Disputes
1 East Washington, Suite 900
Phoenix, AZ 85004
UnitedHealthcare Community Plan
1 East Washington, Suite 900
Phoenix, AZ 85004
UnitedHealthcare Community Plan
PO Box 5290
Kingston, NY 12402-5290
United Behavioral Health
PO Box 30760
Salt Lake City, UT 84130-0760
UnitedHealthcare Dual Complete
Attn: Provider Claim Disputes
PO Box 31364
Salt Lake City, UT 84131-0364
Attn: CA124-0187
PO Box 6103
Cypress, CA 90630-0023
Attn: CA124-0197
PO Box 61063
Cypress, CA 90630
For more information about the credentialing process for network care providers, please read the AHCCCS Credentialing Tip Sheet. You can also visit UHCprovider.com/join > Step 2: Get Credentialed for additional credentialing resources and information.
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.
Dental practitioners that are currently serving Mediciad plans can access Community & State dental information by logging into uhcdental.com under Community & State.
Learn how to join the Behavioral Health Network, review Community Plan Behavioral Health information, or submit demographic changes at Community Plan Behavioral Health.
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.
The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to:
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.
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:
Member plan and benefit information can also be found at UHCCommunityPlan.com/AZ and myuhc.com/communityplan.
Verifying Member Eligibility through AHCCCS Online / State of Arizona
The Division of Developmental Disabilities services are based on age and specific eligibility based on federal requirements and referral/application processes. Click here for details.
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.
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.
UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. Members must have Medicaid to enroll.
Last Modified | 08.12.2021
The Arizona Health Care Cost Containment System (AHCCCS) has updated its fraud and abuse requirements for health care professionals and subcontractors, effective Oct. 1, 2021.
Learn MoreLast Modified | 08.12.2021
Timely filing of claims helps ensure claims payment to health care professionals who participate with UnitedHealthcare Community Plan in Arizona
Learn MoreLast Modified | 08.12.2021
OptumHealth Education and UnitedHealthcare are here to support you with 2 free, CME/CE-accredited education activities, designed to help you navigate the complexities of health equity.
Learn MoreLast Modified | 07.29.2021
We will no longer send paper checks for claim payments to Community Plan health care professionals in Arizona.
Learn MoreLast Modified | 07.28.2021
The Arizona Healthcare Cost Containment System (AHCCCS) has specific guidelines for listing social determinants of health (SDOH) codes on claims for Medicaid members. Care providers should follow these guidelines to avoid claim denials.
Learn MoreLast Modified | 08.12.2021
The Arizona Health Care Cost Containment System (AHCCCS) has updated its fraud and abuse requirements for health care professionals and subcontractors, effective Oct. 1, 2021.
Learn MoreLast Modified | 08.12.2021
Timely filing of claims helps ensure claims payment to health care professionals who participate with UnitedHealthcare Community Plan in Arizona
Learn MoreLast Modified | 08.12.2021
OptumHealth Education and UnitedHealthcare are here to support you with 2 free, CME/CE-accredited education activities, designed to help you navigate the complexities of health equity.
Learn MoreLast Modified | 07.29.2021
We will no longer send paper checks for claim payments to Community Plan health care professionals in Arizona.
Learn MoreLast Modified | 07.28.2021
The Arizona Healthcare Cost Containment System (AHCCCS) has specific guidelines for listing social determinants of health (SDOH) codes on claims for Medicaid members. Care providers should follow these guidelines to avoid claim denials.
Learn MoreHIPAA 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.
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.
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.