September 12, 2022

Maryland Medicaid appeal and grievances submissions

Adhere to this process to help ensure timely response

To maintain efficient turnaround times for appeals and grievance submissions, UnitedHealthcare Community Plan of Maryland providers must submit appeals and grievances through one of the methods outlined below. If you don’t adhere to the submission process, you may encounter longer response times.

To optimize turnaround time for your appeal or grievance filing, remember to:

  • Include all necessary documentation and information
  • Route submissions to the proper channel for your plan
  • Verify the correct submission link, fax number or mailing address for your plan

Appeals and grievance submission process

UnitedHealthcare Community Plan providers should submit appeals or grievances through one of the following channels:

  • UnitedHealthcare Provider Portal
  • Fax
    • For urgent appeals or grievances only, fax 801-994-1261
    • When utilizing this fax option please ensure the request meets the definition of expedited criteria (taking the time for a standard resolution could seriously jeopardize the enrollee's life, physical or mental health, or ability to attain, maintain, or regain maximum function) in accordance with COMAR policies.
  • Mail
    • UnitedHealthcare Community Plan Grievances & Appeals Department
      P.O. Box 31364
      Salt Lake City, UT 84131-0364
  • Verbal submissions
    • Care Provider Grievances 
      • Call Provider Services at 877-842-3210, Monday-Friday, 8 a.m.-6 p.m. ET
    • Verbal pre-service appeal or grievance submission on behalf of member
      • 800-318-8821 Monday–Friday, 8a.m. – 7 p.m. ET
      • *Written consent by the member may be required

Note: For the fastest response time, consider submitting appeals or grievances through the portal or by fax. Mail and verbal submissions may require additional handling and processing times.

Questions?

Find more information on the appeals and grievance process in the Maryland Care Provider Manual. For answers to specific questions call Provider Services at 877-842-3210.

PCA--22-00493-C&SNews
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