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.
For BH Auth Inquiries: 866.675-1607
1-866-675-1607
Your "one call" resource line. Contact for information regarding:
If your office relocates or closes for an extended period, please contact us at 1-877-369-1302.
UnitedHealthcare Community Plan
PO Box 31341
Salt Lake City, UT 84131-0341
UnitedHealthcare Community Plan
Attn: Claims Administrative Appeals
PO Box 31364
Salt Lake City, UT 84131-0364
UnitedHealthcare Community Plan
Attn: Claims Administrative Appeals
PO Box 31364
Salt Lake City, UT 84131-0364
We want to help make sure your patients are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding.
You can find more information at the Louisiana Department of Health's Louisiana Volunteers in Action (LAVA).
In case of a hurricane or other disaster, your patients can register on the American Red Cross Safe and Well website to let family and friends know about their welfare. Those without Internet access can call 1-866-GET-INFO.
Thank you for your interest in becoming a network care provider with UnitedHealthcare Community Plan of Louisiana. In joining our network, you’ll become part of 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.
To get started, follow the steps to join our network. You may refer to the state-specific credentialing requirements for Louisiana Community plan in the UnitedHealthcare Community Plan Care Provider Administrative Guide.
UnitedHealthcare adheres to the Louisiana Revised Statute 22:1874 (which incorporates Act 897) for practitioners joining an existing, contracted medical group to be temporarily approved to receive claims payment upon submitting their completed UnitedHealthcare application, and then will be fully credentialed upon application approval.
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.
UnitedHealthcare Community Plan maintains a grievance system for members that ensures receipt and prompt resolution of informal and formal member grievances and access to the state fair hearing process.
A member, a representative of the member's choice, or a CCN-S provider, acting on behalf of the member with the member's written consent, may file a grievance with UnitedHealthcare Community Plan.
Grievances may be filed orally by calling the toll-free number for our Member Services Call Center 1-866-675-1607 or in writing by mailing the grievance to our Regional Mail Operations (RMO) at:
UnitedHealthcare
P.O. Box 31364
Salt Lake City, UT 84131-0364
We route telephonic/verbal grievances through our technology that identifies call type and routes to other databases according to category. When the system identifies the call as a grievance, the information is logged into the system, and forwarded to a triage team who puts the information into our tracking system where a case file is created and populated.
On receipt of a written grievance, appropriate personnel scan them into the tracking system and create a case file.
Per our Member Grievance Policy, and on initial contact, we log and track criteria including member.
Visit UHCCommunityPlan.com/LA 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/LA and myuhc.com.
Member dental plan and benefit information can be found at UHCCommunityPlan.com/LA and myuhc.com.
Members over 21 will be provided routine dental exams, x-rays, cleanings, fillings and extractions with in-network providers limited to $500 per year. Members should call Customer Service at 1-866-675-1607.
Managed Care of North America is a premier dental benefits administrator that provides exceptional service to State Agencies and managed care organizations for Medicaid. For benefits, claims, provider enrollment, direct deposit issues, demographic changes, NPI Information, etc., contact Managed Care of North America Customer Service at 1-855-701-6262.
Member vision plan and benefit information can be found at UHCCommunityPlan.com/LA and myuhc.com.
March Vision Care is the vision vendor for UnitedHealthcare and provides routine vision services which include:
For all other vision services please contact UnitedHealthcare Community Plan customer service at 1-866-675-1607.
March Vision Care is the vision vendor for UnitedHealthcare and provides routine vision services. Additional vision and services will be provided to complement the limited Medicaid vision benefit. Services include:
Note: Vision services performed by an Optometrist are reimbursable for routine and non-routine services. Claims must be submitted to March Vision Care for processing. This is due to the expanded scope of the services the Louisiana Board of Optometry now allows Optometrists to perform in the office setting.
Phone: 1-844-52-MARCH or 1-844-526-2724
Online: marchvisioncare.com/providerreferenceguides.aspx
Mailing Address for Claims:
Claims Processing Center
6701 Center Drive West, Suite 790
Los Angeles, CA 90045
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.
Regular and non-urgent Third Party Liability update requests must be sent directly to HMS via one of the methods below:
Fax: 1-877-204-1325
Email: latpr@hms.com
Phone: 1-877-204-1324
Traditional Medicare updates should still be sent to Louisiana Department of Health at 1-225-342-1376.
All Urgent updates, where a member may be in danger of not receiving services (such as prescription refills), should still be sent to the selected Healthy Louisiana Plan.
UnitedHealthcare Community Plan
Customer Service Line: 1-866-675-1607
Email: PI_COB_research@uhc.com
For more detailed information about the Private Third Party Liability process, please read the Louisiana Department of Health Bulletin Notice (Informational Bulletin 16-15).
The latest version/s of the United Healthcare Community Plan 2015 Contract and Amendments of the Healthy Louisiana contract is available on the Louisiana Department of Health website.
View the UnitedHealthcare Community Plan 2015 Contract and Amendments.
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.
Learn MoreLast Modified | 12.23.2020
The UnitedHealthcare Dual Complete® plan is available for individuals who qualify for both Medicare and Medicaid.
Learn MoreLast Modified | 10.19.2020
The U.S. Department of Health and Human Services (HHS) announced a third phase of general distribution funding from the Provider Relief Fund (PRF) in the amount of $20 billion. The application for the third phase opens Monday, October 5, and closes on Friday, November 6, 2020.
Learn 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.
Learn MoreLast Modified | 12.23.2020
The UnitedHealthcare Dual Complete® plan is available for individuals who qualify for both Medicare and Medicaid.
Learn MoreLast Modified | 10.19.2020
The U.S. Department of Health and Human Services (HHS) announced a third phase of general distribution funding from the Provider Relief Fund (PRF) in the amount of $20 billion. The application for the third phase opens Monday, October 5, and closes on Friday, November 6, 2020.
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.