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
10175 Little Patuxent Parkway
Columbia, MD 21044

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

Credentialing Updates: 
Contact the National Credentialing Center at 1-877-842-3210.

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:

• UnitedHealthcare Community Plan of Maryland - HealthChoice

Search for Preferred Drug List by plan name:

• UnitedHealthcare Community Plan of Maryland - HealthChoice

Visit UHCCommunityPlan.com/MD for current member plan information including provider directories, dental plans, vision plans and more.

Plan information is available for:

• Maryland HealthChoice
  

Member plan and benefit information can also be found at UHCCommunityPlan.com/MD and myuhc.com/communityplan.

Referrals are required for most specialty services.

The links below provide more information on our referral requirements including how to submit online referrals.

• Learn more about Referrals on the UnitedHealthcare Provider Portal.
  

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.

The best way for primary care providers (PCPs) to view and export the full member roster is using the CommunityCare tool, which allows you to:  

• Identify Medicaid recipients who need to have their Medicaid recertification completed and approved by the State Agency in order to remain eligible to receive Medicaid benefits
• See a complete list of all members, or just members added in the last 30 days
• Export the roster to Excel
• View most Medicaid and Medicare SNP members’ plans of care and health assessments
• Enter plan notes and view notes history (for some plans)
• Obtain HEDIS information for your member population
• Access information about members admitted to or discharged from an inpatient facility
• Access information about members seen in an Emergency Department

For help using CommunityCare, please see our Quick Reference Guide. If you’re not familiar with our portal, go to UHCprovider.com/portal.

Check out Care Conductor in the UnitedHealthcare Provider Portal under Clinical & Pharmacy.

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.