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.”
Hours of Operation: 8:00 am - 6:00 pm EST
Provider Call Center: 877-842-3210
Member Services Number: 800-318-8821 (TTY 711), Monday-Friday, 8:00 am to 7:00 pm EST
Mailing Address:
UnitedHealthcare Community Plan
6220 Old Dobbin Lane
Columbia, MD 21045
Claims Mailing Address:
UnitedHealthcare Community Plan
PO Box 31365
Salt Lake City, UT 84131
Utilization Denial & Appeals Department Mailing Address:
UM Denial & Appeals Department
PO Box 31365
Salt Lake City, UT 84131
Claims Appeals Mailing Address:
UnitedHealthcare Community Plan Appeals-Maryland
PO Box 31365
Salt Lake City, UT 84131
Additional Resources
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 Manuals.
Learn about requirements for joining our network.
Search for a care provider by plan name:
Search for Preferred Drug List by plan name:
Visit UHCCommunityPlan.com/MD for current member plan information including provider directories, dental plans, vision plans and more.
View a sample member ID card here: Member ID card
Plan information is available for:
- Maryland HealthChoice
Member plan and benefit information can also be found at UHCCommunityPlan.com/MD and myuhc.com
Referrals are required for most specialty services.
The links below provide more information on our referral requirements including how to submit online referrals.
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
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
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Update to Procedure to Modifier Policy for “Always Therapy” Codes – Effective July 1, 2019 for UnitedHealhcare Community Plan of CA, HI, FL, LA, MD, MA, MI, MS, NE, NJ, NY, OH, PA, RI, WA, WI, VA
Last Modified | 05.06.2019
UnitedHealthcare Community Plan is updating its Procedure to Modifier Policy for claims for dates of service on or after July 1, 2019. Physical therapy (GP), occupational therapy (GO) or speech-language pathology (GN) modifiers will be required on “Always Therapy” codes to align with the Centers for Medicare & Medicaid Services (CMS).
Learn More -
90-Day Prescription Refills for Select Maintenance Medications, Effective May 1, 2019 for UnitedHealthcare Community Plan of Maryland
Last Modified | 04.30.2019
90-Day Prescription Refills for Select Maintenance Medications, Effective May 1, 2019
Learn More -
Winter 2018 Practice Matters Newsletter - UnitedHealthcare Community Plan of Maryland
Last Modified | 02.15.2019
We hope you enjoy the winter edition of Practice Matters. In this issue, you can read about the annual member and care provider satisfaction surveys, the Maryland required ePREP enrollment for all HealthChoice providers, coordination of care resources and much more.
Learn More
Update to Procedure to Modifier Policy for “Always Therapy” Codes – Effective July 1, 2019 for UnitedHealhcare Community Plan of CA, HI, FL, LA, MD, MA, MI, MS, NE, NJ, NY, OH, PA, RI, WA, WI, VA
Last Modified | 05.06.2019
UnitedHealthcare Community Plan is updating its Procedure to Modifier Policy for claims for dates of service on or after July 1, 2019. Physical therapy (GP), occupational therapy (GO) or speech-language pathology (GN) modifiers will be required on “Always Therapy” codes to align with the Centers for Medicare & Medicaid Services (CMS).
Learn More90-Day Prescription Refills for Select Maintenance Medications, Effective May 1, 2019 for UnitedHealthcare Community Plan of Maryland
Last Modified | 04.30.2019
90-Day Prescription Refills for Select Maintenance Medications, Effective May 1, 2019
Learn MoreWinter 2018 Practice Matters Newsletter - UnitedHealthcare Community Plan of Maryland
Last Modified | 02.15.2019
We hope you enjoy the winter edition of Practice Matters. In this issue, you can read about the annual member and care provider satisfaction surveys, the Maryland required ePREP enrollment for all HealthChoice providers, coordination of care resources and much more.
Learn More
UHC On Air gives you in-depth program information and meaningful updates from UnitedHealthcare 24/7and from any device.
Learn MoreHEDIS Medical Record Collection
- HEDIS® Medical Record Collection - Frequently Asked Questions
- HEDIS® Medical Record Collection - Overview
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.