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For UnitedHealthcare Community Plan of Mississippi

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For UnitedHealthcare Community Plan of Mississippi

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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.

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.

Helpful Resources

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.

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. 

Current News, Bulletins and Alerts

  • Fall 2018 Mississippi Medicaid and CCO Workshops

    Last Modified | 11.05.2018

    The Division of Medicaid, in conjunction with its contractors Conduent, eQHealth and the MSCAN plans – Magnolia Health, Molina Healthcare and UnitedHealthcare Community Plan, will conduct Provider Workshops November 27, 2018 through December 12, 2018, at varied location across the state. The purpose of these two-day Workshops is to provide updates and changes related to Medicaid and MSCAN. Office directors, office managers, coders and billing staff are encouraged to attend.

    Learn More
  • Last Modified | 09.04.2018

    Starting Sept. 22, 2018, we’re making a change to how we process UnitedHealthcare Community Plan claims. We’ll be using additional claim edits to help ensure that the care providers submitted on a claim are also enrolled with the Mississippi Division of Medicaid (DOM) as part of being eligible to participate in the Mississippi Medicaid program.

    Learn More
  • Last Modified | 08.22.2018

    UnitedHealthcare Community Plan Mississippi Children’s Health Insurance Program (MS CHIP) members may receive care from care providers who don’t participate in our MS CHIP network. Starting Sept. 1, 2018, when this happens and these non-participating care providers submit claims for non-emergency services, reimbursement for the non-participating care providers will be 50 percent of the Mississippi Medicaid fee schedule equivalent.

    Learn More
  • Last Modified | 08.16.2018

    UnitedHealthcare Community Plan will implement a new Cesarean Delivery Policy for claims with dates of services on or after Sept. 1, 2018. The policy will reduce reimbursement for cesarean deliveries performed for claims that do not have a supporting diagnosis code.

    Learn More
  • Last Modified | 06.27.2018

    We hope you enjoy the spring edition of Practice Matters. In this issue, you can read about UHCCommunityPlan.com content transitioning to UHCprovider.com, enhancements to Electronic Data Interchange (EDI) claim status transactions, updated clinical guidelines, and much more.

    Learn More
Fall 2018 Mississippi Medicaid and CCO Workshops

Last Modified | 11.05.2018

The Division of Medicaid, in conjunction with its contractors Conduent, eQHealth and the MSCAN plans – Magnolia Health, Molina Healthcare and UnitedHealthcare Community Plan, will conduct Provider Workshops November 27, 2018 through December 12, 2018, at varied location across the state. The purpose of these two-day Workshops is to provide updates and changes related to Medicaid and MSCAN. Office directors, office managers, coders and billing staff are encouraged to attend.

Learn More
New Claim Edits to Help Verify Medicaid Participation for UnitedHealthcare Community Plan of Mississippi

Last Modified | 09.04.2018

Starting Sept. 22, 2018, we’re making a change to how we process UnitedHealthcare Community Plan claims. We’ll be using additional claim edits to help ensure that the care providers submitted on a claim are also enrolled with the Mississippi Division of Medicaid (DOM) as part of being eligible to participate in the Mississippi Medicaid program.

Learn More
MS CHIP Payment Reimbursement Rate Change for Non-Participating Care Providers

Last Modified | 08.22.2018

UnitedHealthcare Community Plan Mississippi Children’s Health Insurance Program (MS CHIP) members may receive care from care providers who don’t participate in our MS CHIP network. Starting Sept. 1, 2018, when this happens and these non-participating care providers submit claims for non-emergency services, reimbursement for the non-participating care providers will be 50 percent of the Mississippi Medicaid fee schedule equivalent.

Learn More
New Cesarean Delivery Reimbursement Policy for UnitedHealthcare Community Plan of Mississippi

Last Modified | 08.16.2018

UnitedHealthcare Community Plan will implement a new Cesarean Delivery Policy for claims with dates of services on or after Sept. 1, 2018. The policy will reduce reimbursement for cesarean deliveries performed for claims that do not have a supporting diagnosis code.

Learn More
Spring 2018 Provider Newsletter

Last Modified | 06.27.2018

We hope you enjoy the spring edition of Practice Matters. In this issue, you can read about UHCCommunityPlan.com content transitioning to UHCprovider.com, enhancements to Electronic Data Interchange (EDI) claim status transactions, updated clinical guidelines, and much more.

Learn More
View More News

HEDIS Medical Record Collection

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.