UnitedHealthcare Community Plan’s members have a right to receive care that is culturally appropriate and respects their cultural and ethnic background and origins.
UnitedHealthcare Community Plan has appointment availability requirements for primary care providers (PCPs) and specialists.
The UnitedHealthcare Dual Complete® plan is available for individuals who qualify for both Medicare and Medicaid.
The UnitedHealthcare Community Plan Case Management program is a holistic approach to care for members with complex needs, especially those with chronic conditions. The goal is to provide our community members with the resources necessary to maintain the highest functional status possible.
Early Elective Delivery Reimbursement Changes, Effective July 1, 2020
Help achieve better health care outcomes for Children and adults with asthma.
UnitedHealthcare would like to emphasize to care providers the appropriate use of antibiotics in children and adults with upper respiratory tract infections.
UnitedHealthcare Dual Complete® One offers new disease management program in New Jersey for end-stage renal disease
Office-based addictions treatment (OBAT) is the use of medications in combination with navigator services to coordinate counseling and behavioral therapies to treat both substance use disorder (SUD) and opioid use disorder (OUD).
Effective June 1, 2020, New Jersey began enforcing new data reporting requirements as condition of Medicaid payment for prenatal care
Participating UnitedHealthcare Community Plan of New Jersey providers must obtain hospital privileges at a participating New Jersey hospital
Refer all members to in-network labs to help avoid any possible claim denials.
We believe members who have positive experiences are more likely to follow medical advice and treatment plans from their care provider.
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services are an important part of preventive care for children.
The UnitedHealthcare Dual Complete® plan will now pair our members with a Navigator. This is a go-to-person that provides support and helps them every step of the way on their health journey in New Jersey.
To view the updated policy, visit UHCprovider.com.