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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.

Prior Authorization and Notification Resources

Current Policies and Clinical Guidelines

Provider Administrative Manual and Guides

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 at Community Plan Behavioral Health. Demographic changes should be submitted via the Provider Update Form.

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).

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

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

Update: Laboratory Services Policy, Professional - Effective May 18, 2020 UnitedHealthcare Community Plan of AZ, CA, FL, HI, KS, MD, MA, MS, MO, NE, NJ, NY, PA, RI, TN, TX, VA, WA, WI

Last Modified | 03.02.2020

Laboratory Services Policy, Professional - Effective May 18, 2020 UnitedHealthcare Community Plan of AZ, CA, FL, HI, KS, MD, MA, MS, MO, NE, NJ, NY, PA, RI, TN, TX, VA, WA, WI

Learn More
DUR Educational Newsletter: Safety in Respiratory Therapy - UnitedHealthcare Community Plan

Last Modified | 02.12.2020

The National Asthma Education and Prevention Program (NAEPP) published guidelines for the treatment of asthma in2007.¹ The guidelines outline goals of therapy that include the prevention of recurrent exacerbation and need for emergencydepartment or hospital care, the prevention of reduced lung growth in children or loss of lung function in adults, and theoptimization of pharmacotherapy with minimal or no adverse effects.

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External Independent Third Party Review UnitedHealthcare Community Plan of Kansas Effective January 01, 2020

Last Modified | 02.04.2020

Effective with denials issued on or after January 01, 2020, care providers are entitled to request an independent third-party review (EITPR) of United Healthcare's appeal decision. EITPR is an optional process available to care providers only and the formal appeal must be completed prior to requesting an EITPR.

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Community Connections for UnitedHealthcare of Kansas - Fall 2019

Last Modified | 02.04.2020

We’re focused on listening to the needs of our members. With that in mind, we’re excited to share a few of our 2020 value-added benefits.

Learn More
Non-Participating Care Providers: Prior Authorization Required for All Services - UnitedHealthcare Community Plan of Kansas

Last Modified | 10.02.2019

Effective Oct. 1, 2019, we’re implementing new requirements for providers who are not participating in the UnitedHealthcare Community Plan of Kansas network.

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.