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June 18, 2021 at 3:00 PM CT

The Oklahoma Health Care Authority has paused the SoonerSelect Medicaid Managed Care implementation. Please visit the OHCA website oklahoma.gov/ohca/soonerselect for future updates.

Welcome to the Home for Care Provider Resources

For UnitedHealthcare Community Plan of Oklahoma

Welcome

For UnitedHealthcare Community Plan of Oklahoma

Welcome to the Home for Care Provider Resources

For UnitedHealthcare Community Plan of Oklahoma

Welcome

For UnitedHealthcare Community Plan of Oklahoma

UnitedHealthcare Community Plan of Oklahoma Homepage

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.

Prior Authorization and Notification Resources

Current Policies and Clinical Guidelines

Provider Administrative Manual and Guides

UnitedHealthcare Community Plan of Oklahoma SoonerSelect Content Coming Soon

Provider Services Call Center:
Phone: 800-301-5547
Hours of Operation: 8 a.m. – 5 p.m. CT, Monday - Friday,

Provider Advocate Team:
Email: TBD
Network Management Resource Team (contracting and credentialing) for Med/Surg Providers:
Email: networkhelp@uhc.com
Behavioral Health Services:
Phone: 800-888-2998
Online: Providerexpress.com

Pharmacy Services:
Phone: 800-813-4713 (OptumRx)
Online: Professionals.optumrx.com
Prior Auth Phone: 800-310-6826

Non-Emergent Transportation Services:
Phone: 877-718-4215
MARCH Vision Care:
Phone: 844-796-2724
Online Reference Guides: marchvisioncare.com
Online: providers.eyesynergy.com

Member Services:
Phone: 888-265-1078

Nurseline (available anytime):
Phone: 866-744-6341

Claims Address:
UnitedHealthcare Claims
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)
TDD 711

Technical Support:
Phone: 866-209-9320

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.

Overview

The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to:

  • Promote quality of care
  • Strengthen efforts to reform the delivery of care to individuals covered under Medicaid and Children’s Health Insurance Plans (CHIP)
  • Strengthen program integrity by improving accountability and transparency

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.

Reporting Fraud, Waste or Abuse to Us

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:

  • Identify Medicaid recipients who need to have their Medicaid recertification completed and approved by the State Agency in order to remain eligible to receive Medicaid benefits
  • See a complete list of all members, or just members added in the last 30 days
  • Export the roster to Excel
  • View most Medicaid and Medicare SNP members’ plans of care and health assessments
  • Enter plan notes and view notes history (for some plans)
  • Obtain HEDIS information for your member population
  • Access information about members admitted to or discharged from an inpatient facility
  • Access information about members seen in an Emergency Department

If you’re not familiar with our portal, go to UHCprovider.com/portal.

UnitedHealthcare Dual Complete® Special Needs Plan

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.

Current News, Bulletins and Alerts

Find COVID-19 vaccine availability for your state or territory

Last 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 More
2020 DSNP County Expansion

Last Modified | 09.17.2019

Provider resources for Commercial, Medicare Advantage and Medicaid / Community Plan products for individuals, employers, and groups available in this state.

Learn More
View More News

Health Insurance Portability and Accountability Act (HIPAA) Information

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. View our updated HIPAA information for UnitedHealthcare Community Plan.

Integrity of Claims, Reports, and Representations to the Government

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.

Disclaimer

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.