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For UnitedHealthcare Community Plan of Kansas

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For UnitedHealthcare Community Plan of Kansas

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UnitedHealthcare Community Plan of Kansas Homepage

We insure more pregnant moms, more children, and more aged, blind and persons with disabilities than anyone else. No one has a larger list of doctors and hospitals. We're a leader in working with community organizations to help the uninsured become insured, and the insured to get the best medical care possible. We're a leader in the effort to understand the social and cultural causes of disease. UnitedHealthcare has been in your community for years. We look forward to partnering with you.

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.

Have questions about UnitedHealthcare Community Plan of Kansas? We have care provider support teams and library of online resources to assist you.

Provider Services Call Center

1-877-542-9235

For Credentialing and Attestation updates, complete the online or paper application form.

Additional Credentialing / Recredentialing Information

Disclosure Forms

Disclosure Forms are required for all contracted providers. If you are already a network provider and have not submitted your completed disclosure form, email your form to ks.disclosure.forms@uhc.com

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 Administrative Guide.  

Learn about requirements for joining our network

Kansas Department of Health and Environment's Division of Health Care Finance and the Kansas Foundation for Medical Care (KFMC) are working together to assist Medicaid providers in Kansas with implementing health information technology and the Medicaid EHR Incentive Program (Meaningful Use).

Services offered and eligibility criteria include:

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.

Helpful Resources

Visit UHCCommunityPlan.com/KS for current member plan information including sample member ID cards, provider directories, value added benefits, dental plans, vision plans and more.

Plan information is available for:

  • UnitedHealthcare Community Plan of Kansas - KanCare 

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

Access a PDF Provider Directory

Value-Added Benefits

A Value-Added Benefit is the extra services that UnitedHealthcare offers our members beyond what is covered under KanCare. 

Baby Blocks Program - Baby Blocks is a web-based, mobile tool to remind and reward pregnant women and new mothers to receive prenatal, postpartum and well-child care.

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. 

Current News, Bulletins and Alerts

United Healthcare Community Plan of Kansas Community Connections - Fall 2018

Last Modified | 10.11.2018

Community Connections is a quarterly newsletter with important information for health care professionals and facilities in the UnitedHealthcare network.

Learn More
UnitedHealthcare Community Plan of Kansas Community Connections - Summer 2018

Last Modified | 08.31.2018

Community Connections is a quarterly newsletter with important information for health care professionals and facilities.

Learn More
Home and Community-Based Services (HCBS) Care Provider Billing Guide for July 2018 - UnitedHealthcare Community Plan of Kansas

Last Modified | 11.01.2018

Please use this billing guide to help you quickly identify what you need to do when working with us in various billing situations. If you have any questions about anything in this guide, please contact your Home and Community-Based Services (HCBS) Provider Advocate.

Learn More
UnitedHealthcare Community Plan of Kansas Community Connections - Spring 2018

Last Modified | 07.09.2018

Community Connections is a quarterly newsletter with important information for health care professionals and facilities.

Learn More
UnitedHealthcare Community Plan of Kansas Community Connections - Winter 2017

Last Modified | 07.03.2018

Community Connections is a quarterly newsletter with important information for health care professionals and facilities.

Learn More
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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.