Provider Call Center

866-815-5334 available from 8 a.m. – 5 p.m. CST (except State designated holidays)

Provider Relations Team

Email: Missouri_PR_Team@uhc.com

Network Management Team

Phone: 866-574-6088
Email: mo_network_mgmt@uhc.com

Mailing Address

UnitedHealthcare Community Plan of Missouri
13655 Riverport Drive
Maryland Heights, MO 63043

Claims & Appeals Information

Claims Mailing Address

UnitedHealthcare Community Plan
PO Box 5240
Kingston, NY 12402-5240

Appeals Mailing Address

UnitedHealthcare Community Plan of Missouri
Attention: Provider Dispute
P.O. Box 31364
Salt Lake City, Utah 84131-0364

Behavioral Health Contact Information

Optum Behavioral Health

Phone: 866-815-5334
Online: https://www.providerexpress.com/content/ope-provexpr/us/en.html

Other Services

Dental Care Contact Information

UnitedHealthcare Dental
Phone: 855-934-9818
Online: https://uhcpwp.sciondental.com/PWP/Landing

Member Transportation Information

Medical Transportation Management
Phone: 866-292-0359
Online: https://www.mtm-inc.net/

Vision Care Contact Information

March Vision Care
Phone: 844-616-2724
Online: https://marchvisioncare.com/

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

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.  

Learn about requirements for joining our network. 

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.

Pediatric Care Network will provide delegated medical management services for UHC Community Plan Pediatric Care Network members including case management, utilization management and disease management. Resources are available for providers including reference guides, office forms, frequently asked questions and more.

View Pediatric Care Network Provider Resources

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

Plan information is available for:

• Care Improvement Plus Dual Advantage
• Missouri HealthNet Managed Care 
• UnitedHealthcare Dual Complete

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

Provider Directories

• Eastern Region 
• Central Region
• Western Region
• Southwest Region

Member Handbooks

• Missouri HealthNet Member Handbook - English and Spanish Available 
• Missouri HealthNet Member Benefits Grid

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.

Effective January 1, 2018, all providers servicing Missouri Medicaid members must be enrolled with Missouri HealthNet. Use the application form below that best applies to your situation.

Individual Provider Enrollment
Missouri HealthNet Individual Providers Application

Organizational Provider Enrollment
Missouri HealthNet Large Provider Organization Application

Search for a care provider by plan name:

• UnitedHealthcare Community Plan - Missouri HealthNet Managed Care
• UnitedHealthcare Dual Complete®

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.