The Oklahoma Health Care Authority has paused the SoonerSelect Medicaid Managed Care implementation. Please visit the OHCA website oklahoma.gov for future updates.
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.
Provider Services Call Center:
Hours of Operation: 8 a.m. – 5 p.m. CT, Monday - Friday,
Provider Advocate Team:
Network Management Resource Team (contracting and credentialing) for Med/Surg Providers:
Behavioral Health Services:
Phone: 800-813-4713 (OptumRx)
Prior Auth Phone: 800-310-6826
Non-Emergent Transportation Services:
MARCH Vision Care:
Online Reference Guides: marchvisioncare.com
Nurseline (available anytime):
P.O. Box 5290
Kingston, NY 12402-5290
Multilingual/Telecommunication Device for the Deaf (TDD) Services:
Phone: 888-265-1078 (members)
Phone: 800-301-5547 (providers)
For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210.
For more Information on the Oklahoma Health Care Authority Enrollment Requirements for enrolling in SoonerCare, please visit - https://oklahoma.gov/ohca/providers/provider-enrollment.html
We appreciate your interest in Joining our network. - We have 4 easy steps to join our network
For more information about the SoonerSelect program, please visit: https://oklahoma.gov/ohca/soonerselect.html
UnitedHealthcare Community Plan website will have more information available by 7/1/2021
Visit UHCCommunityPlan.com/OK for current member plan information including sample member ID cards, provider directories, dental plans, vision plans and more.
Member plan and benefit information can also be found at UHCCommunityPlan.com/OK and myuhc.com/communityplan.
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.
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.
Beginning October 1, 2021, 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:
If you’re not familiar with our portal, go to UHCprovider.com/portal.
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.
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 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.