UnitedHealthcare Medicare Advantage Terms and Conditions for Certain Incentive Programs
A care provider that formally joins to participate in certain incentive programs will receive a payment from UnitedHealthcare if the requirements described in these Terms and Conditions are met. Specific program information follows.
Medicare Advantage Incentive Program
Medical Condition Assessment Incentive Program for Out of Network Providers Terms and Conditions Effective Jan. 1, 2019
Last Published 08.24.2020
These Medical Condition Assessment Incentive Program for Out of Network Providers1 Terms and Conditions (“Terms and Conditions”) govern the Medical Condition Assessment Incentive Program (“MCAIP”). As a precondition for the Provider to participate in the MCAIP Program pursuant to these Terms and Conditions and to be eligible for the payments described below, one of the following must have occurred: (a) UnitedHealthcare (“United”) presented an MCAIP Program Participation Acknowledgement (“Acknowledgment”) to Provider and Provider signed and returned the Acknowledgement to United in accordance with the deadline established by United, or (b) United notified Provider of Provider’s enrollment in the MCAIP Program via a unilateral amendment to Provider’s participation agreement with United.
Medical Condition Assessment Incentive Program Terms and Conditions - Effective January 1, 2020
Last Published 09.01.2020
These Medical Condition Assessment Incentive Program Terms and Conditions (“Terms and Conditions”) govern the Medical Condition Assessment Incentive Program (“MCAIP”). Provider must have received a unilateral amendment or executed and timely returned a bilateral amendment to participate in this Program.
Medical Condition Assessment Incentive Program Terms and Conditions Effective Jan. 1, 2019
Last Published 08.24.2020
These Medical Condition Assessment Incentive Program Terms and Conditions (“Terms and Conditions”) govern the Medical Condition Assessment Incentive Program (“MCAIP”). As a precondition for the Provider to participate in the MCAIP Program pursuant to these Terms and Conditions and to be eligible for the payments described below, one of the following must have occurred: (a) UnitedHealthcare (“United”) presented an MCAIP Program Participation Acknowledgement (“Acknowledgment”) to Provider and Provider signed and returned the Acknowledgement to United in accordance with the deadline established by United, or (b) United notified Provider of Provider’s enrollment in the MCAIP Program via a unilateral amendment to Provider’s participation agreement with United.
Medical Conditional Assessment Incentive Program for out of Network Providers Terms and Conditions - Effective January 1, 2020
Last Published 09.01.2020
These Medical Condition Assessment Incentive Program Terms and Conditions For Out of Network Providers¹ (“Terms and Conditions”) govern the Medical Condition Assessment Incentive Program (“MCAIP”). Provider must have received a unilateral amendment or executed and timely returned a bilateral amendment or bilateral acknowledgement (collectively “Participation Document”) to participate in this Program.
Medicare Advantage PCPi Terms and Conditions Effective Jan. 1, 2019
Last Published 08.24.2020
These Medicare Advantage Primary Care Physician Incentive Program Terms and Conditions (“Terms and Conditions”) govern the Medicare Advantage Primary Care Physician Incentive (“MA-PCPi”) Program. As a precondition for the Provider to participate in the MA-PCPi Program pursuant to these Terms and Conditions and to be eligible for the bonus opportunities described below, one of the following must have occurred: (a) UnitedHealthcare (“United”) presented a MA-PCPi Program Participation Acknowledgement (“Acknowledgment”) to Provider and Provider signed and returned the Acknowledgement to United in accordance with the deadline established by United, or (b) United notified Provider of Provider’s enrollment in the MA-PCPi Program via a unilateral amendment to Provider’s participation agreement with United.
Medicare Advantage PCPi Terms and Conditions for Out of Network Providers Effective Jan. 1, 2019
Last Published 08.24.2020
These Medicare Advantage Primary Care Physician Incentive Program Terms and Conditions (“Terms and Conditions”) govern the Medicare Advantage Primary Care Physician Incentive (“MA-PCPi”) Program. As a precondition for the Provider to participate in the MA-PCPi Program pursuant to these Terms and Conditions and to be eligible for the bonus opportunities described below, one of the following must have occurred: (a) UnitedHealthcare (“United”) presented a MA-PCPi Program Participation Acknowledgement (“Acknowledgment”) to Provider and Provider signed and returned the Acknowledgement to United in accordance with the deadline established by United, or (b) United notified Provider of Provider’s enrollment in the MA-PCPi Program via a unilateral amendment to Provider’s participation agreement with United.
Medicare Advantage Primary Care Physician Incentive Program for Out of Network Providers Terms and Conditions Effective January 1, 2020
Last Published 08.31.2020
These Medicare Advantage Primary Care Physician Incentive Program For Out Of Network Providers Terms and Conditions (“Terms and Conditions”) govern the Medicare Advantage Primary Care Physician Incentive (“MA-PCPi”) Program. As a precondition for the Provider to participate in the MA-PCPi Program pursuant to these Terms and Conditions and to be eligible for the bonus opportunities described below, one of the following must have occurred: (a) UnitedHealthcare (“United”) presented a MA-PCPi Program Participation Acknowledgement or MA-PCPi Program Participation Amendment ( collectively “Participation Document”) to Provider and Provider signed and returned the Participation Document to United in accordance with the deadline established by United, or (b) United notified Provider of Provider’s enrollment in the MA-PCPi Program via a unilateral amendment to Provider’s participation agreement with United (also a “Participation Document).
Medicare Advantage Primary Care Physician Incentive Program Terms and Conditions Effective January 1, 2020
Last Published 08.31.2020
These Medicare Advantage Primary Care Physician Incentive Program Terms and Conditions (“Terms and Conditions”) govern the Medicare Advantage Primary Care Physician Incentive (“MA-PCPi”) Program. Provider must have received a unilateral amendment or executed and timely returned a bilateral amendment to participate in this Program.