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.
866-815-5334 available from 8 a.m. – 5 p.m. CST (except State designated holidays)
Email: Missouri_PR_Team@uhc.com
Phone: 866-574-6088
Email: mo_network_mgmt@uhc.com
UnitedHealthcare Community Plan of Missouri
13655 Riverport Drive
Maryland Heights, MO 63043
UnitedHealthcare Community Plan
PO Box 5240
Kingston, NY 12402-5240
UnitedHealthcare Community Plan of Missouri
Attention: Provider Dispute
P.O. Box 31364
Salt Lake City, Utah 84131-0364
Optum Behavioral Health
Phone: 866-815-5334
Online: https://www.providerexpress.com/content/ope-provexpr/us/en.html
UnitedHealthcare Dental
Phone: 855-934-9818
Online: https://uhcpwp.sciondental.com/PWP/Landing
Medical Transportation Management
Phone: 866-292-0359
Online: https://www.mtm-inc.net/
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.
UnitedHealthcare is here to help your practice successfully transition to the integrated care clinical model.
If you have any questions, please contact the community integration team at mocollaborativecare@uhc.com.
For more training and educational resources, please click here.
Learn how to join the Behavioral Health Network, review Community Plan Behavioral Health information, or submit demographic changes at Community Plan Behavioral Health.
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.
The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to:
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.
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:
Member plan and benefit information can also be found at UHCCommunityPlan.com/MO and myuhc.com/communityplan.
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:
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:
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.
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.
Last Modified | 06.02.2022
Effective Aug. 1, 2022, providers in Missouri are required to submit claims with the Current Procedural Terminology (CPT) codes for obstetrical service provided to Medicaid plan members. Claims without the proper codes will be denied.
Learn MoreLast Modified | 04.29.2022
Effective Aug. 1, 2022, Optum will manage prior authorization requests for non-oncology injectable medications that are covered on the medical benefit for UnitedHealthcare Community Plans.
Learn MoreLast Modified | 07.09.2021
UnitedHealthcare Community Plan network providers will have the opportunity to share their feedback about their experience working with us by taking our Physician Satisfaction Survey. This survey applies to physicians who participate in Medicaid.
Learn MoreLast Modified | 05.21.2021
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.
Learn MoreLast Modified | 02.11.2021
Access to care and appointment availability standards for Community and State Plan Missouri
Learn MoreLast Modified | 06.02.2022
Effective Aug. 1, 2022, providers in Missouri are required to submit claims with the Current Procedural Terminology (CPT) codes for obstetrical service provided to Medicaid plan members. Claims without the proper codes will be denied.
Learn MoreLast Modified | 04.29.2022
Effective Aug. 1, 2022, Optum will manage prior authorization requests for non-oncology injectable medications that are covered on the medical benefit for UnitedHealthcare Community Plans.
Learn MoreLast Modified | 07.09.2021
UnitedHealthcare Community Plan network providers will have the opportunity to share their feedback about their experience working with us by taking our Physician Satisfaction Survey. This survey applies to physicians who participate in Medicaid.
Learn MoreLast Modified | 05.21.2021
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.
Learn MoreLast Modified | 02.11.2021
Access to care and appointment availability standards for Community and State Plan Missouri
Learn MoreHIPAA 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.
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.