On Oct. 1, 2022, UnitedHealthcare Community Plan (Medicaid) moved to a single pharmacy benefits manager (PBM), Gainwell Technologies. Most pharmacies in Ohio are eligible. For more information, visit the Gainwell Ohio Medicaid page or call 833-491-0344.
Please see below for a list of our current training materials for care providers.
OptumHealth Education and Optum Provider Express offer a variety of informational webinars and training resources for providers. Training classes, guides and resources are added frequently.
Our Healthcare Professional Education and Training page is your source for on-demand education created specifically for UnitedHealthcare providers. It gives you in-depth information and meaningful updates from UnitedHealthcare 24/7 and can be accessed from any device.
UnitedHealthcare encourages all MCP-contracted providers to complete and submit the web-based pregnancy and risk assessment form (PRAF 2.0) to assist pregnant women in maintaining Medicaid eligibility and connecting to needed services and supports (e.g., home visiting)”. The web-based PRAF 2.0 automatically notifies the county, MCP and home health provider of the pregnancy and need for progesterone once it is submitted. The PRAF 2.0 also allows for an Ohio Board of Pharmacy approved progesterone prescription to be printed and faxed to the appropriate pharmacy. Providers are encouraged to use the following resources for the improvement of pregnancy outcomes.
Ohio Perinatal Quality Collaborative’s information about progesterone best practices:
Ohio Department of Health’s progesterone messaging toolkit:
Ohio Department of Medicaid notification of pregnancy and risk assessment form (PRAF 2.0): https://medicaid.ohio.gov/wps/portal/gov/medicaid/resources-for-providers/special-programs-and-initiatives/praf/praf