Welcome to the Home for Care Provider Resources

For UnitedHealthcare Community Plan of Mississippi

Welcome

For UnitedHealthcare Community Plan of Mississippi

UnitedHealthcare Community Plan of Mississippi 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

Current Policies and Clinical Guidelines

Provider Administrative Manual and Guides

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

Contact Us

Contract, Demographic, and Network Related Issues: 800-557-9933

Claims or Service Related Questions: 800-557-9933

Provider Customer Service Hours of Operation: 8:00 am - 6:00 pm CST

Postal Mailing Address

UnitedHealthcare
795 Woodlands Parkway, Suite 301
Ridgeland, MS  39157

Claims Mailing Address

UnitedHealthcare
P.O. Box 5032
Kingston, NY  12402-5032

Facility/Hospital-Based Providers, Group/Practice Providers and Individually-Contracted Clinicians

Learn about requirements for joining our network.

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.

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.

Visit UHCCommunityPlan.com/MS for current member plan information including sample member ID cards, provider directories, dental plans, vision plans and more.

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

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, UnitedHealthcare works to detect, correct and prevent fraud , waste  and abuse  in the health care system.

Call us at 1-844-359-7736 or at uhc.com/fraud to report any issues or concerns. 

UnitedHealthcare Dual Complete® Special Needs Plan

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.

Current News, Bulletins and Alerts

Find COVID-19 vaccine availability for your state or territory

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.

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Winter 2021: Benefit enhancements for Mississippi dual special needs plan (DSNP)

Last Modified | 01.04.2021

In addition to expanding the UnitedHealthcare Dual Complete® plan coverage area to include individuals in 23 new counties, the following improvements were made to the dual special needs plan (DSNP) in Mississippi for 2021.

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Fall 2020: Appointment Availability Standards

Last Modified | 10.01.2020

As a reminder, UnitedHealthcare Community Plan has appointment availability requirements for primary care providers (PCPs) and specialists.

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Fall 2020: A Reminder About Our Satisfaction Survey

Last Modified | 10.01.2020

Keep an eye out for the Physician Satisfaction Survey.

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Fall 2020: Breast Cancer Screening

Last Modified | 10.01.2020

Healthcare Effectiveness Data and Information Set (HEDIS®) measures can help enhance quality of care by identifying ways to support preventive care.

Learn More
View More News

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.