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

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

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

Housing Stabilization providers will first need to obtain a One Healthcare ID to complete registration. The link provided here will walk the provider through the portal registration process. An NPI is not required to complete the registration. uhcprovider/access

  • Once registration is complete, the provider will need to submit their W9 in this portal. Submission of the W9 is required to load the provider in order to process claims.  
  • UnitedHealthcare will be able to pay claims for services rendered with members approved by MN DHS once the W9 is received and the provider is loaded internally.
  • Providers can use One Healthcare portal to sign up for electronic funds transfer, view claims and access numerous 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.  

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.

Coming Soon

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: 844-217-7207

Current News, Bulletins and Alerts

Last Modified | 06.21.2022

Starting Sept. 9, 2022, most Minnesota E&I, M&S and M&R appeal decision letters, prior authorizations, PRAs and overpayment letters sent by us are going paperless.

Learn More

Last Modified | 06.16.2022

As of July 1, 2022, Medicare Advantage and commercial claims for sepsis-related treatment may be reviewed on a pre-payment or post-payment basis.

Learn More

Last Modified | 06.16.2022

Use TrackIt, a tool in the UnitedHealthcare Provider Portal, to not only see recent claim decisions and items that need attention, but also take action right there.

Learn More
View More News
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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.

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.