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.
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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
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
Optum Behavioral Health
Phone: 866-815-5334
Online: providerexpress.com/content/ope-provexpr/us/en.html
Dental contact information
UnitedHealthcare Dental
Phone: 855-934-9818
Online: uhcdental.com/dental/dental-medicaid
Member transportation information
Medical Transportation Management
Phone: 866-292-0359
Online: mtm-inc.net/
Vision Care contact information
March Vision Care
Phone: 844-616-2724
Online: marchvisioncare.com
For questions about Credentialing and Attestation updates, connect with us through chat 24/7 in the UnitedHealthcare Provider Portal. For additional contact information, visit our Contact us page.
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.
To learn more, check out our training and education resources.
Learn how to join the behavioral health network, review 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 are 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:
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 our Community Plan of Missouri page for current member plan and benefit 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 on our UnitedHealthcare Community Plan member page.
Additional health benefits and benefits updates can be found on our UnitedHealthcare Community Plan – MO HealthNet Managed Care page.
The best way for primary care providers (PCPs) to view and export the full member roster is using the CommunityCare feature on the UnitedHealthcare Provider Portal, which allows you to:
For help using CommunityCare feature in the UnitedHealthcare Provider Portal, please see our user guide. If you’re not familiar with UnitedHealthcare Provider Portal, visit our portal resources page.
Pediatric Care Network (PCN) will provide delegated medical management services for UnitedHealthcare Community Plan members including case management, utilization management and disease management. Resources are available for providers including reference guides, office forms, frequently asked questions and more.
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 844-359-7736 or visit uhc.com/fraud to report any issues or concerns.
UnitedHealthcare Dual Complete Special Needs Plans (D-SNP) offer benefits for people with both Medicare and Medicaid. These D-SNP plans provide benefits beyond Original Medicare and may include transportation to medical appointments and vision exams. Members must have Medicaid to enroll.
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 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.
If UnitedHealth Group 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 Policies and Clinical Guidelines section at left.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CPT® is a registered trademark of the American Medical Association.