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.
1-866-270-5785 available Monday-Friday from 8:00 a.m.-5:00 p.m. PST
UnitedHealthcare Community Plan of California, Inc.
4365 Executive Drive, Suite 500
San Diego, CA 92121
UnitedHealthcare Community Plan of California, Inc.
8880 Call Center Drive, Suite, 300
Sacramento, CA 95826
UnitedHealthcare Community Plan of California, Inc.
P.O. Box 30884
Salt Lake City, UT 84130-0884
UnitedHealthcare Community Plan of California, Inc.
Attention: Provider Dispute
P.O. Box 31364
Salt Lake City, UT 84131
UnitedHealthcare Community Plan of California, Inc.
Attention: Grievance and Appeals
P.O. Box 31364
Salt Lake City, UT 84131-0364
For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210.
UnitedHealthcare Community Plan of California and Solera are working together to offer a Diabetes Prevention Program at no cost to qualified members. Solera is a health care solutions company that specializes in managing cost-effective health programs using technology and disease prevention program strategies.
The Diabetes Prevention Program can help members make small changes to live healthier lives, lose weight and help lower their chance of developing type 2 diabetes.
This program is geared towards members who:
Because UnitedHealthcare is working directly with Solera, your patients who are UnitedHealthcare members may be eligible to enroll in the program at no cost to them. You can refer a member to enroll in the program and, if the member qualifies, they’ll have access to weekly sessions, small group support, personal health coaches and more.
For more information, call Solera at 877-486-0141, TTY 711, Monday – Friday, 6 a.m. – 6 p.m. Pacific Time.
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/CA for current member plan information including 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/CA and myuhc.com.
Search for a care provider by plan name:
Please complete the form below and mail it to the address provided to address concerns.
The UnitedHealthcare Community Plan of California Quality Improvement Program assesses the overall effectiveness of our health plan, including processes, goals and outcomes related to member care and services. If you’d like to request a copy of our Quality Improvement Program Annual Evaluation, please email uhccscaqualitydepartment_dl@ds.uhc.com.
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.
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 | 01.11.2021
Use this list of local health departments to learn about availability in your area. Availability may vary by location and time. We encourage you to check back often as information becomes more available.
Read MoreLast Modified | 12.14.2020
By attending this webinar, you’ll learn: Important information about UnitedHealthcare, Community Plan of California, How to use our online tools and resources to check member eligibility, submit claims and more, Best practices for claims submission and timely filing, Requirements and processes for requesting prior authorization, How to resolve issues by reaching out to the right contacts, How to access quick reference guides for answers to commonly asked questions.
Read MoreLast Modified | 10.20.2020
We’ve refined medical policy documentation requirements and enhanced clinical coverage criteria for various procedures. This document contains information on effective dates by state and frequently asked questions.
Read MoreLast Modified | 01.11.2021
Use this list of local health departments to learn about availability in your area. Availability may vary by location and time. We encourage you to check back often as information becomes more available.
Read MoreLast Modified | 12.14.2020
By attending this webinar, you’ll learn: Important information about UnitedHealthcare, Community Plan of California, How to use our online tools and resources to check member eligibility, submit claims and more, Best practices for claims submission and timely filing, Requirements and processes for requesting prior authorization, How to resolve issues by reaching out to the right contacts, How to access quick reference guides for answers to commonly asked questions.
Read MoreLast Modified | 10.20.2020
We’ve refined medical policy documentation requirements and enhanced clinical coverage criteria for various procedures. This document contains information on effective dates by state and frequently asked questions.
Read 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.