How to Join the UnitedHealthcare network

How to Join the UnitedHealthcare network

Become part of the UnitedHealthcare Community Plan of Indiana Hoosier Care Connect network. You’ll join a group of physicians, health care professionals and facilities who share our commitment to helping people live healthier lives and making the health care system better for everyone. Review the following instructions and requirements for your medical specialty.

Please note: You will be notified if your request to join the network (referred to as your network participation request) is not complete. Notification will be sent within 5 business days after we receive your initial request. The notification will confirm if your network participation request is complete or if we need additional information. Below are the most common reasons a network participation request is considered incomplete:

Category Issue(s) Requirement

CAQH

  • Your CAQH profile status is incomplete or expired.
  • We do not have authorization to access your CAQH application. Log into the CAQH ProView Provider portal, go to the user account setting menu and review the Authorization section to update your preferences. Be sure to authorize UnitedHealthcare.
  • Information in your completed CAQH profile needs to be updated (Examples include practice information, credentialing contact information, license and professional liability insurance effective and expiration dates)
The information on CAQH must match the information you provide on your network participation request

Attached Documents

  • Attaching the wrong document
  • Not signing the W-9 form or providing an incorrect Tax ID number
Providing all the correct and completed documents is required.
Document Return
  • Slow response time to requested information
Missing documents are signed and returned as quickly as possible. 
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Step 1: Get Started

To begin the process

Submit your request to join our network through UnitedHealthcare’s  Request for Participation (RFP) portal

You must also be enrolled with Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your provider enrollment.

A complete network participation request to join our network must include:

  • IHCP practitioner enrollment form (please attach to the Practitioner RFP portal submission)
  • Active Medicaid ID obtained through the IHCP
  • Current CAQH application, with access granted to UnitedHealthcare
  • National provider identification (NPI) number
  • A scheduled site visit for credentialing (applicable to primary care providers, obstetrics/gynecology, certified nurse midwife, nurse practitioner and physician’s assistant only)
  • Proof of $250,000/$750,000 in liability insurance
  • Hospital privileges or coverage arrangements, if applicable
  • Supervising specialty for mid-levels
  • Detail if the health care professional is practicing as a primary care provider or specialist
  • Curriculum Vitae (CV)
  • W-9
  • Phone & fax number
  • Email address
  • Physical address, including suite number if applicable
  • ZIP code + 4
  • Provider roster (medical groups only)
Here’s what happens next
  • A UnitedHealthcare representative will contact you to start the credentialing and contracting process
    • Contracting is a separate process from credentialing – but to help keep things moving, we’ll start the contracting process with you while you’re working through credentialing.
  • You’ll be registered in our system (if you’re not already).

We’ll quickly review your application. Within 5 business days, we’ll notify you by mail or email if your request is complete or if we need additional information from you.

How to check the status of a network participation request

Non-delegated providers can email networkhelp@uhc.com or call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m. ET.

Providers with delegation agreements with UnitedHealthcare must check the status of the request for network participation with your UnitedHealthcare delegation manager. In all cases when checking status of a request for network participation, please provide your MPIN (provided at time of submission of your request for network participation) or your NPI to facilitate checking the status of your request.

Questions? 

If you have questions about our process or need assistance, please email networkhelp@uhc.com. Include the health care professional’s full name, National Provider Identifier (NPI), Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 2: Get Credentialed

To begin credentialing

You can start the application process at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application).

If you have questions on accessing the CAQH ProView database, call the CAQH Help Desk at 888-599-1771 for assistance.

Credentialing overview

During the credentialing process, we’ll work with you to verify your qualifications, practice history, certifications and registration to practice in a health care field. For more details, review our Credentialing and Recredentialing overview and frequently asked questions.

  • Credentialing is required for all licensed individual health care professionals in order to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.
    • Credentialing is not required for medical practitioners that work in an inpatient setting or freestanding facility and provide care for members only because of members being directed to the facility.
  • Once the primary verification is complete, your application will be presented to a committee of your peers, organized by UnitedHealthcare, to determine if you meet our credentialing requirements.
  • Both credentialing and contracting must be completed prior to seeing UnitedHealthcare members.

UnitedHealthcare will complete credentialing within 30 days of receipt of your completed request, in accordance with state requirements.

Here’s what happens next

If there are issues with your credentialing documentation, you may be contacted by a representative from UnitedHealthcare or Verisys, working on behalf of UnitedHealthcare.

Questions? 

If you have questions about our credentialing process or need assistance, please email networkhelp@uhc.com. Include the health care professional’s full name, National Provider Identifier (NPI), Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

For more information about Indiana Hoosier Care Connect network enrollment and credentialing with IHCP managed care entities, view the Instructions for Credentialing and Enrollment with IHCP Managed Care Entities.

Step 3: Get Contracted

To begin contracting The UnitedHealthcare contracting process starts automatically once we receive your credentialing application. There is nothing you need to do separately to start this process.
Contracting overview

We’ll send you a participation agreement (contract) through a secure application called Adobe Sign. If we don’t have a valid email address, we’ll mail you the participation agreement.

  • If you’re joining a medical group that already has a participation agreement with UnitedHealthcare, you’ll be added to the group agreement once credentialing is approved. A new contract will not be issued.

Once we receive a signed agreement from you, we’ll countersign the participation agreement and send you a copy, along with the date you can begin seeing members as a network provider (your effective date).

  • If your credentialing application has not been completed and approved prior to returning a signed contract to UnitedHealthcare, you will not receive a countersigned contract until credentialing is complete
  • For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.
Questions?

If you have questions about our contracting process or need assistance, please reach out to your UnitedHealthcare contracting representative or email networkhelp@uhc.com. Include the health care professional’s full name, National Provider Identifier (NPI), Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

For more information about Indiana Hoosier Care Connect network enrollment and credentialing with IHCP managed care entities, view the Instructions for Credentialing and Enrollment with IHCP Managed Care Entities.

Step 4: Get Enrolled

To begin enrollment The enrollment process starts automatically once your credentialing is complete and approved, and once we receive a signed contract from you. There is nothing you need to do separately to start this process.
Enrollment overview

In this process, specific information about you is loaded into our data systems:

  • Demographics – address, office hours, etc.
  • Contract details and arrangements – effective dates, rates, etc.

If we need request or clarify any information from you during the enrollment process, we’ll contact you by phone or email. If we can’t reach you through either of those methods, we may send you a letter outlining what we need from you.

Here’s what happens next Once the enrollment process is complete, you’ll receive a welcome letter from UnitedHealthcare within 5 business days.
Questions?

If you have questions about our process or need assistance, please email networkhelp@uhc.com. Include the health care professional’s full name, National Provider Identifier (NPI), Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 1: Get Started

To begin the process

Submit your request to join our network through UnitedHealthcare’s Facility RFP portal

The facility must also be enrolled with Indiana Medicaid. If you haven’t already done so, complete your provider enrollment.

  • NOTE:  Federally qualified health centers (FQHCs) and rural health centers (RHCs) should use the practitioner enrollment form for each practitioner

A complete request to join our network must include:

  • Active Medicaid ID obtained through IHCP
  • Completed UnitedHealthcare facility application form
  • Proof of malpractice and general liability insurance
  • W-9
  • Phone & fax number
  • Email address
  • Physical facility address, including suite number if applicable
  • ZIP code + 4
Here's what happens next
  • You’ll be registered in our system (if you’re not already).
  • We’ll quickly review your application and within 5 business days notify you by mail or email if your request is complete or if we need additional information from you (see the list above outlining what must be included for a request to be considered complete).
How to check the status of a network participation request

You can email networkhelp@uhc.com or call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m. ET. Please provide your MPIN (provided at time of submission of your request for network participation) or your NPI to facilitate checking the status of your request.

Questions? 

If you have questions about our process or need assistance, please email networkhelp@uhc.com. Include the facility’s full name, Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 2: Get Credentialed

To begin credentialing

Credentialing is required for hospitals and ancillary facilities in order to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.

To start the process, you simply need to include the following when you submit a participation request to UnitedHealthcare:

Credentialing overview

During the credentialing process, we’ll work with you to verify:

  • Required license(s)
  • General/comprehensive liability insurance
  • Errors and omissions (malpractice) insurance of $250,000/$750,000
  • Proof of Medicare/Medicaid program participation eligibility
  • Appropriate accreditation by a recognized agency or satisfactory alternative
  • Centers for Medicare & Medicaid Services (CMS) certification
  • Site visit (only required if the facility is not accredited or does not have CMS certification)
Here’s what happens next

If there are issues with your credentialing documentation, you may be contacted by a representative from UnitedHealthcare or Verisys, working on behalf of UnitedHealthcare.

Contracting is a separate process from credentialing – but to help keep things moving, we’ll start the contracting process with you while you’re working through credentialing

Questions? 

If you have questions about our credentialing process or need assistance, please email networkhelp@uhc.com. Include the facility’s full name, Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 3: Get Contracted

To begin contracting Contracting is a separate process from credentialing – but to help keep things moving, we’ll start the contracting process with you automatically while you’re working through credentialing. There is nothing you need to do separately to start this process. 
Contracting overview

We’ll automatically send you a participation agreement (contract) by email. If we do not have a valid email address on file for you, we’ll mail or fax you the contract.

Once we receive a signed agreement from you, we’ll countersign the participation agreement and send you a copy, along with the date you can begin seeing members as a network provider (your effective date).

  • If your credentialing application has not been completed and approved prior to returning a signed contract to UnitedHealthcare, you will not receive a countersigned contract until credentialing is complete

For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.

Questions?

If you have questions about our contracting process or need assistance, please email networkhelp@uhc.com. Include the facility’s full name, Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 4: Get Enrolled

To begin enrollment The enrollment process starts automatically once your credentialing is complete and approved, and once we receive a signed contract from you. There is nothing you need to do separately to start this process.
Enrollment overview

In this process, specific information about you is loaded into our data systems:

  • Demographics – address, office hours, etc.
  • Contract details and arrangements – effective dates, rates, etc.

If we need request or clarify any information from you during the enrollment process, we’ll contact you by phone or email. If we can’t reach you through either of those methods, we may send you a letter outlining what we need from you.

Here’s what happens next Once the enrollment process is complete, you’ll receive a welcome letter from UnitedHealthcare within 5 business days.
Questions?

If you have questions about our process or need assistance, please email networkhelp@uhc.com. Include the health care professional’s full name, National Provider Identifier (NPI), Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

If you have questions or need assistance with, please call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 1: Get Started

To begin the process

This section covers the credentialing, contracting and enrollment process for facilities who are involved in testing, health care supplies and services.

As an ancillary provider, you must be enrolled with Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your provider enrollment.

The next step in the network participation request process is to determine if your facility requires credentialing.

Credentialing Required

  • Ambulatory surgical centers
  • Diabetes education centers
  • Dialysis
  • Home health/Home infusion (Note that Home infusion is credentialed/contracted only if it is part of a Home Health agency)
  • Hospice
  • Lab or radiology

 If you are in one of these specialties, here’s how to request to join the UnitedHealthcare and Indiana Hoosier Care Connect network as an ancillary health care professional:

  • Already credentialed with UnitedHealthcare: Email National Ancillary Contracting Team at napsi@uhc.com. In the email, please note if the request is for a new health care professional/group or if you are adding someone to an existing contract.
  • Not yet credentialed with UnitedHealthcare:  Submit your request to join our network through UnitedHealthcare’s Facility RFP portal.

Credentialing Not Required

  • Ambulatory infusion suites
  • Convenience care
  • Durable medical equipment providers (equipment, orthotics, prosthetics and medical supplies)
  • Hearing
  • Hemophilia treatment centers
  • Independent diagnostic testing facilities ​(cardiac monitoring, home sleep testing, sleep centers and home PT/INR testing)
  • Specialty medications (non-retail pharmacy)
  • Transportation (ambulance and non-emergency transportation)
  • Telemedicine
  • Urgent Care

If you are in one of these specialties, you can request to join the UnitedHealthcare and Indiana Hoosier Care Connect network by emailing the National Ancillary Contracting Team at napsi@uhc.com. In the email, please note if the request is for a new health care professional/group or if you are adding someone to an existing contract.

How to check the status of a network participation request You can email networkhelp@uhc.com or call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m. ET. Please provide your MPIN (provided at time of submission of your request for network participation) or your NPI to facilitate checking the status of your request.
Questions?  If you have questions about the process or need assistance, call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 2: Get Credentialed

To begin credentialing

If your specialty does not require credentialing, please skip to Step 3: Get Contracted.

You can start the application process at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application). If you have questions on accessing the CAQH ProView database, call the CAQH Help Desk at 888-599-1771 for assistance.

To assist in this process:

  • Review what’s needed for credentialing
  • You must complete each step in the credentialing process to credentialed with UnitedHealthcare
Credentialing overview

During the credentialing process, we’ll work with you to verify your qualifications, practice history, certifications and registration to practice in a health care field. For more details, review our Credentialing and Recredentialing overview and frequently asked questions.

The following information must be submitted during credentialing:

  • Current required license(s)
  • General/comprehensive liability insurance
  • Errors and omissions (malpractice) insurance
  • Proof of Medicare/Medicaid program participation eligibility
  • Appropriate accreditation by a recognized agency, or satisfactory alternative
  • Centers for Medicare & Medicaid Services (CMS) certification

You must also be enrolled with Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your provider enrollment.

Here’s what happens next
  • A UnitedHealthcare representative will contact you to start the credentialing and contracting process
  • You’ll be registered in our system (if you’re not already).
Questions? 

If you have questions about our process or need assistance, please email networkhelp@uhc.com. Include the health care professional’s full name, National Provider Identifier (NPI), Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 3: Get Contracted

To begin contracting

The contracting process automatically starts after one of the following actions occur:

  • Specialty requires credentialing
    • Already credentialed with UnitedHealthcare: You email the National Ancillary Contracting Team, as noted above in Step 1: Get Started
    • Not yet credentialed with UnitedHealthcare: You submit your request to join our network through UnitedHealthcare’s Facility RFP portal

Specialty does not require credentialing: You email the National Ancillary Contracting, as noted above in Step 1: Get Started

Contracting overview

Here’s what happens during the contracting process:

  • You will receive an email from the National Ancillary Contracting Team within 5 business days that includes a Provider Questionnaire. Please complete the questionnaire in its entirety.
  • Return the following items to UnitedHealthcare’s National Ancillary Contracting Team by email:
    • Completed Provider Questionnaire
    • Provider demographic details
    • W-9 (confirming TIN)

Both credentialing and contracting must be completed prior to seeing UnitedHealthcare Hoosier Care Connect members.

Questions? If you have questions about our contracting process or need assistance, please respond back to the email from which your questionnaire was sent, or email the National Ancillary Contracting Team at napsi@uhc.com. Include the provider’s name, National Provider Identifier (NPI), Tax Identification Number (TIN) and brief description of the request. Your contractor will follow-up with you within 5 business days.

Step 4: Get Enrolled

To begin enrollment The enrollment process starts automatically once your credentialing is complete and approved, and once we receive a signed contract from you. There is nothing you need to do separately to start this process.
Enrollment overview

In this process, specific information about you is loaded into our data systems:

  • Demographics – address, office hours, etc.
  • Contract details and arrangements – effective dates, rates, etc.

If we need to clarify information with you during the enrollment process, we’ll contact you by phone or email. If we can’t reach you through either of those methods, we may send you a letter outlining what we need from you. 

Here’s what happens next Once the enrollment process is complete, you’ll receive a welcome letter from UnitedHealthcare within 5 business days.
Questions?

If you have questions about our process or need assistance, please email networkhelp@uhc.com. Include the health care professional’s full name, National Provider Identifier (NPI), Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 1: Get Started

To begin the process

This section applies to behavioral health practitioners, ABA providers and facilities. If you work in this specialty area, the process to join our network begins with Optum Behavioral Health. They handle credentialing and contracting on behalf of UnitedHealthcare.

To start the network participation request process, go to Optum’s Join Our Network page and click on the button associated with your provider type (e.g., Individual Clinician, Agency, Facility, Autism/ABA).

  • Please complete all fields and submit all applicable information
  • Make sure all CAQH information is current and attested
  • Ensure all requested documents are current and accurate
  • Review the  Optum Provider Express Onboarding Process for additional details

You must also be enrolled with Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your provider enrollment.

A complete request to join the Optum Behavioral Health  network must include:

  • Active Medicaid ID obtained through IHCP
  • Current CAQH application, with access granted to UnitedHealthcare
  • National provider identification (NPI) number
  • W-9
  • Phone & fax number
  • Email address
  • Physical address, including suite number if applicable
  • ZIP code + 4
Here’s what happens next
Optum Behavioral Health will quickly review your application. Within 5 business days, they’ll notify you by mail or email if your request is complete or if they need additional information from you (see the list above outlining what must be included for a request to be considered complete).
How to check the status of a network participation request

If you have questions about the status of an Optum Behavioral Health request for network participation, call 877-614-0484. Please provide your One Healthcare ID for clinicians or your Provider Reference Number for agencies or facilities (provided at time of submission of your request for network participation) to facilitate checking status of your request.

For individual practitioners, you can also use your One Healthcare ID to check status throughout the network participation request process using the Initial Credentialing Toolbar on the Provider Express website.

Questions?  If you have questions, call Optum Behavioral Health Solutions at 877-614-0484.

Step 2: Get Credentialed

To begin credentialing

You can update and attest your credentialing information at CAQH.org.

If you have questions on accessing the CAQH ProView database, call the CAQH Help Desk at 888-599-1771 for assistance.

Credentialing overview

During the credentialing process, Optum Behavioral Health  will work with you to verify your qualifications, licenses, practice history, certifications, and registration to practice in behavioral health.

  • Credentialing is required for all licensed behavioral health care professionals and facilities in order to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.
  • Both credentialing and contracting must be completed prior to seeing UnitedHealthcare Hoosier Care Connect members.
Questions? 

If you have questions about an Optum Behavioral Health  credentialing application or the status of the application, call 877-614-0484.

For individual practitioners, you can check status throughout the approval process using the Initial Credentialing Toolbar on the Provider Express website.

Step 3: Get Contracted

To begin contracting The UnitedHealthcare contracting process starts automatically once we receive your credentialing application. There is nothing you need to do separately to start this process.
Contracting overview We’ll send you a contract through email. If we don’t have a valid email address, we’ll mail you the contract for review. Once we receive a signed contract from you, we’ll countersign the contract and send you a copy, along with the date you can begin seeing Indiana Hoosier Care Connect members as a network provider (your effective date).
  • If your credentialing application has not been completed and approved prior to returning a signed contract to UnitedHealthcare, you will not receive a countersigned contract until credentialing is complete
  • For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.
Questions?

If you have contracting questions, call Optum Behavioral Health  at 877-614-0484. 

Step 4: Get Enrolled

To begin enrollment The enrollment process starts automatically once your credentialing is complete and approved, and once we receive a signed contract from you. There is nothing you need to do separately to start this process.
Enrollment overview

We will load your fully executed contract and demographic information into our claims system and update our provider directory.

We will send you a Provider Welcome Letter with your effective date so you can begin seeing our Hoosier Care Connect members.

Questions? If you have questions about your provider demographic information, please contact Optum Behavioral Health Network Management at 877-614-0484.

Step 1: Get Started

To begin the process

This section applies to chiropractors, outpatient therapy providers (occupational, speech and physical therapy) or alternative medicine providers. If you work in this specialty area, the process to join our network begins with OptumHealth Physical Health. They handle credentialing and contracting on behalf of UnitedHealthcare. To start the process:

New health care professionals/groups

  • Go to the OptumHealth Physical Health website and on the right side of the page, click on “Interested in Becoming a Provider?” to complete a requestion for information for network participation
  • Select one of the following options:
    • I am a health care provider and would like information about joining an OptumHealth Physical Health network
    • I am a new therapist joining an existing Optum contracted group
    • I am a health care provider and would like to become a Managed Physical Health Network Provider (The Empire Plan) ONLY
  • Then complete the required fields and click Submit
  • You can also call OptumHealth Physical Health at 800-873-4575

Existing contracted groups/facilities

You must send a Letter of Interest to OptumHealth Physical Health to add Medicaid (UnitedHealthcare Community Plan) to your contract.

The Letter of Intent must include the following:

  • Group Name or Provider Name
  • Tax ID Number
  • NPI Number
  • Place of Service Address
  • Phone Number
  • Fax Number
  • Email Address

All health care professionals

You must also be enrolled with Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your provider enrollment.

Here’s what happens next

Within 3 business days, you will be contacted via Adobe Sign with additional information and next steps:

  • New health care professionals/groups – you’ll receive a full OptumHealth application packet with all documents required to join the network, including a contract
  • Existing contracted groups/facilities – you’ll receive only the documents needed to add a new therapist to an existing contract, or (if applicable) to add Medicaid (UnitedHealthcare Community Plan) to your contract  
How to check the status of a network participation request

You can email OptumHealth Physical Health at netdevpubsec@optum.com or call 800-873-4575 to check the status of a request for network participation. Providers can also speak with their OptumHealth contractor. Please provide your MPIN (provided at time of submission of your request for network participation), Tax ID or your NPI to facilitate checking status of your request.

Questions?  Please call OptumHealth Physical Health at 800-873-4575.

Step 2: Get Credentialed

To begin credentialing

OptumHealth Physical Health receives the provider’s request for participation and begins the credentialing process.

OptumHealth Physical Health utilizes CAQH to obtain primary source verification for credentialing. You can start the application process at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application). Please ensure that all CAQH information is up to date and attested to before submitting a request for participation.

Credentialing overview

During the credentialing process, OptumHealth Physical Health will work with you to verify your qualifications, practice history, certifications and registration to practice in a health care field.

Credentialing is required for all alternative medicine practitioners, outpatient occupational, physical and speech therapy practitioners, and chiropractors in order to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.

The following are required for a provider credentialing application to be considered complete:

  • IHCP practitioner enrollment form
  • Signed credentialing application attestation within 180 days
  • Personal information and professional IDs
  • Education and training
  • Practice locations
  • Professional liability insurance with limits
  • Five-year work history, with explanation of gaps of 6 months or more  
  • Disclosure questionnaire, including any explanations for affirmative answers, if applicable
Here’s what happens next

If there are any questions about your credentialing application, OptumHealth Physical Health will contact the you via email to address them.

Questions? 

For more information about Indiana Hoosier Care Connect network enrollment and credentialing with IHCP managed care entities, view the Instructions for Credentialing and Enrollment with IHCP Managed Care Entities.

If you have questions about the credentialing process or need assistance, please email  cred_ohcs@optum.com. You can also call OptumHealth Physical Health at 800-873-4575.

Step 3: Get Contracted

To begin credentialing

OptumHealth Physical Health receives the provider’s request for participation and begins the credentialing process.

OptumHealth Physical Health utilizes CAQH to obtain primary source verification for credentialing. You can start the application process at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application). Please ensure that all CAQH information is up to date and attested to before submitting a request for participation.

Credentialing overview

During the credentialing process, OptumHealth Physical Health will work with you to verify your qualifications, practice history, certifications and registration to practice in a health care field.

Credentialing is required for all alternative medicine practitioners, outpatient occupational, physical and speech therapy practitioners, and chiropractors in order to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.

The following are required for a provider credentialing application to be considered complete:

  • IHCP practitioner enrollment form
  • Signed credentialing application attestation within 180 days
  • Personal information and professional IDs
  • Education and training
  • Practice locations
  • Professional liability insurance with limits
  • Five-year work history, with explanation of gaps of 6 months or more  
  • Disclosure questionnaire, including any explanations for affirmative answers, if applicable
Here’s what happens next

If there are any questions about your credentialing application, OptumHealth Physical Health will contact the you via email to address them.

Questions? 

For more information about Indiana Hoosier Care Connect network enrollment and credentialing with IHCP managed care entities, view the Instructions for Credentialing and Enrollment with IHCP Managed Care Entities.

If you have questions about the credentialing process or need assistance, please email  cred_ohcs@optum.com. You can also call OptumHealth Physical Health at 800-873-4575.

To begin contracting The OptumHealth Physical Health contracting process starts automatically when you submit a requestion for information for network participation.
Contracting overview

Here’s what you can expect:

  • New health care professionals/groups – The OptumHealth Physical Health participation agreement (contract) is included in the full OptumHealth application packet you receive via Adobe Sign.
  • Existing contracted groups/facilities – you’ll receive only the documents needed to add a new therapist to an existing contract, or (if applicable) to add Medicaid (UnitedHealthcare Community Plan) to your contract  

You can review the contract, sign it and return to OptumHealth Physical Health via Adobe Sign.

Once OptumHealth Physical Health receives a signed agreement from you, they’ll countersign the participation agreement and send you a copy, along with the date you can begin seeing Indiana Hoosier Care Connect members as a network provider (your effective date).

  • If your credentialing application has not been completed and approved prior to returning a signed contract to OptumHealth Physical Health, you will not receive a countersigned contract until credentialing is complete.
  • For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.
Questions? Please email OptumHealth Physical Health at netdevpubsec@optum.com or call 800-873-4575

Step 4: Get Enrolled

To begin enrollment The enrollment process starts automatically once your credentialing is complete and approved, and once we receive a signed contract from you. There is nothing you need to do separately to start this process.
Enrollment overview In this process, the fully executed contract and provider demographics information are loaded into the OptumHealth Physical Health claims system. You are also added to the provider directory. If there are any questions, OptumHealth Physical Health will contact you within 5 business days.
Questions? Please call OptumHealth Physical Health at 800-873-4575.

Step 1: Get Started

To begin the process

If you work in this specialty area, you’ll work with UnitedHealthcare Dental Benefit Providers for credentialing, contracting and enrollment.

To start the network participation request process, follow the steps outlined in the Dental Enrollment, Contracting and Credentialing instructions.

  • Download and complete all sections of the provider enrollment packet request form
    • The files in the provider enrollment packet that must be completed and emailed back include:
      • UnitedHealthcare Dental Provider Agreement for Indiana
      • UnitedHealthcare American Dental Association CAQH Provider Application Form
      • Americans with Disabilities Act (ADA) Attestation
      • UnitedHealthcare Dental Recruitment and Amendment Letter (as applicable)
      • Email the completed packet to ce_packetrequest@uhc.com
      • Please indicate in the email subject line - "Packet Request – Indiana (County)"

You must also enroll with the Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your IHCP provider enrollment application.

Here’s what happens next

Once your packet has been completed and submitted, a Network Contractor will contact you via email or phone within 5 business days to review dental fees and the application process. They will also discuss everything needed to complete the network participation request process. Your Network Contractor works with you throughout the request for participation process and is your primary source of information. They will provide you with their email and phone number to ensure you’re able to keep the process moving forward.

How to check the status of a network participation request You can contact their Dental Provider Advocate or call UnitedHealthcare Dental Benefit Provider Services at 800-822-5353 regarding status of a network participation request. Please provide the unique application reference number provided to you at the time of submission of your request for network participation to facilitate checking status of your request.
Questions?  If you have questions about downloading the packet or completing the packet, please call UnitedHealthcare Dental Benefit Provider Services at 800-822-5353.

Step 2: Get Credentialed

To begin credentialing

Once UnitedHealthcare Dental Provider Benefits receives your request, the Network Contractor will send you a dental credentialing checklist. 

You can complete the CAQH application process for dental at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application). Please create/update and attest to your CAQH application prior to beginning the credentialing process. You can also send us your credentialing materials directly.

 If you have questions on accessing the CAQH ProView database, call the CAQH Help Desk at 888-599-1771 for assistance.

Credentialing overview

During the credentialing process, UnitedHealthcare Dental Benefit Providers will work with you to verify your qualifications, practice history, certifications and registration to practice in the dental field.

  • Credentialing is required for all licensed individual dental professionals to participate in the UnitedHealthcare Dental Provider Network and Indiana Hoosier Care Connect network.
  • Providers should expect the credentialing process to be completed within 30 calendar days of submission of all required credentialing information.

Both credentialing and contracting must be completed prior to seeing UnitedHealthcare Hoosier Care Connect members.

Questions?  Please contact the Network Contractor who reaches out to you when a enrollment packet has been submitted. The Network Contractor will give you their email address and phone number. They are your primary source of information and will work with you throughout the process. 

Step 3: Get Contracted

To start contracting

Contracting is a separate process from credentialing – we’ll start the contracting process with you while you’re working through credentialing.

The UnitedHealthcare Dental contract (also referred to as a participation agreement) is included in the provider enrollment packet request form you download when you start the process of joining out network. 

Both credentialing and contracting must be completed prior to seeing UnitedHealthcare Hoosier Care Connect members.

Contracting overview

You will review the contract and sign it (also referred to as executing it). Then, you’ll return it to UnitedHealthcare Dental by emailing it to your Network Contractor.

Once UnitedHealthcare Dental Benefit Providers receives a signed agreement from you, you are considered fully contracted. UnitedHealthcare will  countersign the contract and send you a copy via mail or email.

 

You’ll receive a provider welcome letter notifying you that credentialing and contracting is complete, along with the date you can begin seeing Indiana Hoosier Care Connect members as a network provider (your effective date).

  • If your credentialing application has not been completed and approved prior to returning a signed contract to UnitedHealthcare Dental Benefit Providers, you will not receive a countersigned contract until credentialing is complete
  • For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.
Questions? Please contact the Network Contractor who reaches out to you when a enrollment packet has been submitted. The Network Contractor will give you their email address and phone number. They are your primary source of information and will work with you throughout the process.

Step 4: Get Enrolled

To begin enrollment The enrollment process starts automatically once your credentialing is complete and approved, and once we receive a signed contract from you. There is nothing you need to do separately to start this process.
Enrollment overview

In this process, the fully executed contract and provider demographics information are loaded into the UnitedHealthcare Dental Benefit Providers claims system. You are also added to the dental provider directory. If there are any questions, UnitedHealthcare Dental Benefit Providers will contact you within 5 business days.

Questions? Please contact the Network Contractor who reaches out to you when a enrollment packet has been submitted. The Network Contractor will give you their email address and phone number. They are your primary source of information and will work with you throughout the process.

Step 1: Get Started

To begin the process

This section applies to Optometrists (full scope of licensure) Ophthalmologists (routine vision only) and Opticians. If you work in this specialty area, you’ll need to become credentialed and contracted with March Vision Care’s provider network, UnitedHealthcare Community Vision Network / March Vision Network. 

To start the process:

You must also enroll with the Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your IHCP provider enrollment application.

Here's what happens next
  • You’ll be registered in the March Vision Care system (if you’re not already)
  • Your network participation request will be reviewed promptly and you will be notified within 5 business days notify you by phone or email if your request is incomplete and we need additional information.
  • If you request is complete, a representative will contact you to start the credentialing and contracting process
How to check the status of a network participation request You can call March Vision Provider Customer Service at 844-486-2724, Monday–Friday, 8 a.m. to 8 p.m. ET or use the inquiry form on the March Vision Contact Us webpage to check the status of your network participation request. Please provide the unique issue ID provided to you at the time of submission of your request for network participation to facilitate checking the status of your request.
Questions? 

If you have questions about the process or need assistance, please contact March Vision Provider Customer Service at 844-486-2724, Monday–Friday, 8 a.m. to 8 p.m. ET.

You can also use the inquiry form on the March Vision Contact Us webpage. Simply complete all required fields in the inquiry form and click Submit and a representative will respond to your request.

Step 2: Get Credentialed

To begin credentialing

March Vision Care uses CAQH ProView to obtain primary source verification for credentialing. You can start the process at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application).

If you have questions on accessing the CAQH ProView database, call the CAQH Help Desk at 888-599-1771 for assistance. Credentialing is required for all providers.

Note: If your CAQH information is not current and attested the credentialing process cannot begin. 

Credentialing overview

During the credentialing process, March Vision Care will review your qualifications, practice history, certifications and registration to practice in a health care field. This includes:

  • CAQH application release to Spectera Eyecare Networks (this is the predecessor name for March Vision)
  • CAQH attestation within the last 3 months
  • Certificate of insurance showing professional liability coverage (malpractice insurance).
  • State license including Diagnostic Pharmaceutical Agent (DPA) license or Therapeutic Pharmaceutical Agent (TPA) license
  • Copy of DEA and CDS (if applicable)
  • Board certification (if applicable)
  • Curriculum Vitae (CV), including work history (only needed for initial credentialing)
  • Active Medicaid ID obtained through IHCP

Credentialing is required for all optometrists and ophthalmologists to participate in the UnitedHealthcare Community Vision Network / March Vision Network. Both credentialing and contracting must be completed prior to seeing UnitedHealthcare Hoosier Care Connect members. 

Questions? 

If you have questions about the credentialing process or need assistance, please contact March Vision Provider Customer Service at 844-486-2724, Monday–Friday, 8 a.m. to 8 p.m. ET.

You can also use the inquiry form on the March Vision Contact Us webpage. Simply complete all required fields in the inquiry form and click Submit and a representative will respond to your request.

Step 3: Get Contracted

To begin contracting Contracting is a separate process from credentialing – but to help keep things moving, the contracting process will start as soon as your completed network participation request and all required documents are received with no errors.
Contracting overview

Here’s what you can expect:

New health care professionals/groups – You will receive a participation agreement (contract) for UnitedHealthcare Community Vision Network / March Vision Network through a secure application called Adobe Sign. If they don’t have a valid email address, a representative will call you to obtain updated contact information.

Once your signed contract is received, they’ll countersign the contract and send you a copy, along with the date you can begin seeing Indiana Hoosier Care Connect members as a UnitedHealthcare Community Vision Network / March Vision Network provider (your effective date). 

  • If your credentialing application has not been completed and approved prior to returning a signed contract, you will not receive a countersigned contract until credentialing is complete.
  • For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.

Existing contracted groups/facilities – If you’re joining an existing group that already has a contract with UnitedHealthcare Community Vision Network / March Vision Network, you will be added to the group contract once credentialing is approved. A new contract will not have to be issued.

Questions?

If you have questions about the contracting process or need assistance, please contact March Vision Provider Customer Service at 844-486-2724, Monday–Friday, 8 a.m. to 8 p.m. ET.

You can also use the inquiry form on the March Vision Contact Us webpage. Simply complete all required fields in the inquiry form and click Submit and a representative will respond to your request.

Step 4: Get Enrolled

To begin enrollment The enrollment process starts automatically once your credentialing is complete and approved, and once your signed contract is received. There is nothing you need to do separately to start this process.
Enrollment overview

In this process, the fully executed contract and provider demographics information are loaded into the March Vision Care claims system. You are also added to the provider directory. If there are any questions, March Vision Care will contact you within 5 business days.

Once the enrollment process is complete, you’ll receive a letter welcoming you to the UnitedHealthcare Community Vision Network / March Vision Network within 5 business days. It will contain your network participation effective date so you can begin seeing Hoosier Care Connect members. It will also contain your login credentials to EyeSynergy, our claims and order submission tool.

Questions?

If you have questions process or need assistance, please contact March Vision Provider Customer Service at 844-486-2724, Monday–Friday, 8 a.m. to 8 p.m. ET.

You can also use the inquiry form on the March Vision Care Contact Us webpage. Simply complete all required fields in the inquiry form and click Submit. A March Vision Care representative will respond to your request.

Step 1: Get Started

To begin the process

Submit your request to join our network as a skilled nursing facility (SNF) through UnitedHealthcare’s Facility RFP portal

The facility must also be enrolled with the Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your https://www.in.gov/medicaid/providers/provider-enrollment/.

A complete request to join our network must include:

  • Active Medicaid ID obtained through the IHCP
  • Completed UnitedHealthcare facility network participation form
  • Proof of malpractice and general liability insurance
  • W9 – current information, including the legal/DBA name to be used in the contract, signed and dated
  • NPI
  • SNF Address and phone number
  • Billing Address and phone number
  • Contact – name, phone number, email address, fax number,
  • Contract signatory name and email address
Here's what happens next
  • You’ll be registered in our system (if you’re not already).
  • We’ll quickly review your application and within 5 business days notify you by mail or email if your request is complete or if we need additional information from you (see the list above outlining what must be included for a request to be considered complete).
How to check the status of a network participation request

You can email networkhelp@uhc.com or call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m. ET to check the status of your network participation request. Please provide your MPIN (provided at time of submission of your request for network participation) or your NPI to facilitate checking status of your request.

Questions? 

If you have questions about our process or need assistance, please email networkhelp@uhc.com. Include the facility’s full name, Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 2: Get Credentialed

To begin credentialing

Credentialing is required for skilled nursing facilities to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.

To start the process, you simply need to include a completed UnitedHealthcare facility network participation form when you submit a participation request.

Credentialing overview

During the credentialing process, we’ll work with you to verify:

  • Medical malpractice and/or professional liability insurance – $1,000,000 per occurrence and $3,000,000 aggregate
  • Commercial general and/or umbrella liability insurance – $1,000,000 per occurrence and aggregate
  • Copy of current state license (if applicable)
  • Evidence of current Medicare certification, including verification of survey completed within the last 36 months (if applicable)
  • Certificate or letter from the accreditation agency for all locations, including verification of survey completed within the last 36 months (e.g., JC, CHAP, etc.) (if applicable)
  • Copy of declaration sheet and/or certificate of insurance for BOTH current professional malpractice and comprehensive general liability insurance 
  • Policies
Here’s what happens next If there are issues with your credentialing documentation, you may be contacted by a representative from UnitedHealthcare or Verisys, working on behalf of UnitedHealthcare.
Questions? 

If you have questions about our credentialing process or need assistance, please email networkhelp@uhc.com. Include the facility’s full name, Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 3: Get Contracted

To begin contracting Contracting is a separate process from credentialing – but to help keep things moving, we’ll start the contracting process with you automatically while you’re working through credentialing. There is nothing you need to do separately to start this process. 
Contracting overview

We’ll automatically send you a participation agreement (contract) by email. If we do not have a valid email address on file for you, we will contact your facility by phone to obtain a valid email address.

Once we receive a signed agreement from you, we’ll countersign the participation agreement and send you a copy, along with the date you can begin seeing members as a network provider (your effective date).

  • If your credentialing application has not been completed and approved prior to returning a signed contract to UnitedHealthcare, you will not receive a countersigned contract until credentialing is complete.
  • For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page
Questions?

If you have questions about our contracting process or need assistance, please email networkhelp@uhc.com. Include the facility’s full name, Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Step 4: Get Enrolled

To begin enrollment The enrollment process starts automatically once your credentialing is complete and approved, and once we receive a signed contract from you. There is nothing you need to do separately to start this process.
Enrollment overview

In this process, specific information about you is loaded into our data systems:

  • Demographics – address, office hours, etc.
  • Contract details and arrangements – effective dates, rates, etc.

If we need to any information from you or need to clarify information with you during the enrollment process, we’ll contact you by phone or email. If we can’t reach you through either of those methods, we may send you a letter outlining what we need from you.

Here's what happens next Once the enrollment process is complete, you’ll receive a provider welcome letter from UnitedHealthcare within 5 business days.
Questions? If you have questions or need assistance with, please call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Working with UnitedHealthcare

We encourage health care professionals to use with our online systems and resources. UnitedHealthcare is committed to making it easier for you to work with us, reduce the time it takes for you to perform claim and clinical activities, stay up to date on news and UnitedHealthcare updates — and ultimately, help you get paid faster.

1. UnitedHealthcare Community Plan of Indiana Hoosier Care Connect:  Bookmark UnitedHealthcare’s specific webpage for Indiana Hoosier Care Connect: UHCprovider.com/incommunityplan. It has all the resources you need for Indiana Hoosier Care Connect, all in one place.

2. UnitedHealthcare News: Bookmark the UHCprovider.com/news webpage. It’s the home for updates across our commercial, Medicare Advantage and Community Plan (Medicaid) health plans. You’ll find contractual and regulatory updates, process changes and reminders, program launches and resources to help manage your practice and care for patients.

3. Network News email briefs

Subscribe to receive a regular summary of the latest news, policy and reimbursement updates that we’ve posted on our news webpage. You can tailor your subscription to ensure that you only receive updates relevant to your state, specialty, and point of care. Subscribe today.

These email briefs include:

  • Monthly notification of policy and protocol updates, including medical and reimbursement policy changes. This monthly notification takes the place of the communication formerly known as the Network Bulletin.
  • Announcements of new programs and changes in administrative procedures
  •  Enhancements and additions to our suite of digital tools

4. UnitedHealthcare Provider Portal

The portal is a secure way to manage claim-related tasks – verify patient eligibility and benefits, manage prior authorizations and notifications, check claims status, submit referral requests, access claim-related letters online, submit reconsiderations and appeals, view provider remittance advice (PRAs) and more.

To access the portal:

  • If you already have a One Healthcare ID (formerly known as Optum ID), simply go to UHCprovider.com and click Sign In in the upper-right corner.
  • If you need to set up an account on the portal, follow these steps to register. 

5. UHCprovider.com

This public website is available 24/7 and does not require registration to access. You’ll find valuable resources including administrative and plan-specific policies, protocols and guides, health plans by state, regulatory and practice updates, quality programs, efficiency reports and more.

6. Health care professional education and training

To help ensure you are reimbursed quickly and patients get access to the care they need, we have developed a full range of training resources, including interactive self-paced courses and quick reference guides along with registration for instructor-led sessions. Topics include the digital solutions available on the UnitedHealthcare Provider Portal, plan and product overviews, clinical tools, state-specific training and much more.

View the training resources at UHCprovider.com/training. Content is updated frequently and is organized by categories to make it easy to find what you need.

UnitedHealthcare’s credentialing and contracting program has been developed in accordance with state and federal requirements and accreditation guidelines. In accordance with those standards, UnitedHealthcare members will not be referred and/or assigned to you until the credentialing process and contracting process have been completed and you are loaded in UnitedHealthcare’s systems.