Welcome to the Home for Care Provider Resources

For UnitedHealthcare Community Plan of Minnesota

Welcome to the Home for Care Provider Resources

For UnitedHealthcare Community Plan of Minnesota

Welcome to the Home for Care Provider Resources

For UnitedHealthcare Community Plan of Minnesota

Welcome to the Home for Care Provider Resources

For UnitedHealthcare Community Plan of Minnesota


UnitedHealthcare Community Plan of Minnesota Homepage

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

For BH Auth Inquiries: 877-440-9946

Current Policies and Clinical Guidelines

Provider Administrative Manual and Guides

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Provider Services Call Center: 

Phone: 877-440-9946; available 8 a.m. – 5 p.m. Central Time, M-F

Provider Relations:

Email: mn_provider relations@uhc.com

Network Management Resource Team

Phone: 877-842-3210
Email: networkhelp@uhc.com

Technical Support:

Phone: 866-209-9320

Behavioral Health Services

Phone: 877-440-9946 available 8 a.m. – 5 p.m. Central Time, M-F
Online: providerexpress.com

Housing Stabilization Navigator is Camille Edosa:

Online: camille.edosa@uhc.com

Pharmacy Services:

Pharmacies call: 844-495-8038
Prescribers requesting Pharmacy Prior Authorization call: 800-310-6826 or submit prior authorization through CoverMyMeds or SureScripts.

UnitedHealthcare Dental:

Phone: 866-547-0809
Online: uhcdental.com

MARCH Vision Care:

Phone: 855-596-2724
Online Reference Guides: marchvisioncare.com
Contact Information: providers.eyesynergy.com

MTM for Nonemergency Medical Transportation Services

Phone: 888-444-1519
Call to schedule two days in advance


For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210.

Housing Stabilization Services (HSS) is a Medical Assistance benefit to help people with disabilities and seniors find and keep housing. Housing stabilization services are a state plan (not waiver) Home and Community-Based Services (HCBS).

Eligibility as a Housing Stabilization Services provider:
Before rendering services to UnitedHealthcare Community Plan members, you’ll need to enroll or be already registered as a housing stabilization services (HSS) provider with the Department of Human Services Minnesota Health Care Programs (DHS MHCP).  For enrollment information visit Minnesota Provider Screening and Enrollment (MPSE) portal .

Member Eligibility for Housing Stabilization Services:
To identify if a member is eligible for the HSS benefits refer to  Housing Stabilization Services.

Billing Housing Stabilization Services:
Once you are registered with DHS MHCP as an HSS provider, your claims will be eligible for reimbursement.  Please note you don’t need a UnitedHealthcare Community Plan contract to provide HSS services and submit claims. Housing stabilization services agencies must follow general DHS MHCP billing policies and guidelines Housing Stabilization Services (state.mn.us). Claims for HSS are considered fee for service, with the rates and diagnoses established by DHS MHCP. 

Electronic claims submission:
You may submit claims by electronic data interchange (EDI) for more information visit https://www.uhcprovider.com/en/resource-library/edi.htmlOur payer ID is 87726. We follow CMS National Uniform Claim Committee (NUCC) and National Uniform Billing Committee (NUBC) guidelines for HCFA 1500 and UB-04 forms.

Registering for the UnitedHealthcare Portal:
The UnitedHealthcare Provider Portal has more than 60 online tools — including claims submission, eligibility, prior authorization, referrals and more.

Because HSS providers don’t need to contract with UnitedHealthcare, the access to our portal requires provider validation, the first claim should be a paper claim along with a copy of your W9 mail to UnitedHealthcare Community Plan, P.O. Box 5270, Kingston, NY 12402-5270. Once UnitedHealthcare receives the paper claim, the Provider Validation team will create a provider record and process the claim; when you receive the Provider Remit Advice you will know your record has been created, please allow 30 days for this process. If you have questions you can reach to the Provider Validation Team at 844-368-5890, 8 a.m.-5 p.m. CT, Monday-Friday.

After the initial paper claim has been processed, Housing Stabilization providers will first create the One Healthcare ID and register for access to the UnitedHealthcare Provider Portal here.  It is important to note that:

  • A National Provider Identifier (NPI) number is not required to use the portal.  If you do not have an NPI, enter all ‘0’ in this space.
  • Provide your tax ID number (TIN)
  • If you did not submit a copy of your W9 with your first paper claim, please upload it onto the online portal.
  • Proof of servicing address (i.e., Utilities bill)
  • Learn more about the portal and access training at UHCprovider.com/portal.

Electronic payment solution: Optum Pay™

UnitedHealthcare Community Plan has launched the replacement of paper checks with electronic payments and will no longer be sending paper checks for health care professional payment. You will have the option of signing up for Automated Clearing House (ACH)/ direct deposit, our preferred method of payment, or to receive a Virtual Card payment (Virtual Card). The only alternative to a Virtual Card is direct deposit. Both options allow you to get paid quickly and securely. For more information on how to enroll visit https://www.uhcprovider.com/en/claims-payments-billing/Electronic-Payment-Solutions.html.

Register for email updates

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 are found in the UnitedHealthcare Community Plan Care Provider Manuals.  


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.

Coming Soon

Coming Soon

Minnesota Senior Care Plus (MSC+) and Minnesota Senior Health Options (MSHO): Open network access for HCBS services

MSC+ and MSHO Plan members in Minnesota who are eligible to receive long-term services and supports (LTSS) may use the Minnesota Department of Human Services (DHS)-enrolled open access network for the following home and community-based services (HCBS):

  • Adult day services
  • Family adult day services
  • Customized living/24-hour customized living services

A list of these providers is included in the https://mhcpproviderdirectory.dhs.state.mn.us/. You can also access a complete list through the DHS MinnestotaHelp website.


Call Provider Services: 877-440-9946

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.

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. 

Restricted Recipient Program (RRP) Contact Information
Phone 888-413-0945
Email: MN_RRP@uhc.com 
Fax: 855-369-7560

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.

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.


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.