Use online form for UnitedHealthcare Community Medicaid Long-Term Care Plan members
Please use the Resident Admission-Discharge Form to notify us when residents with the UnitedHealthcare Community Medicaid Long-Term Care Plan are admitted or discharged from your care facility.
Reporting admissions and discharges begins the process of care planning, scheduling, arranging and continuing care prior to or following treatment in an acute care facility, nursing home, etc. Members may experience delays in benefits and providers may receive administrative denials for services when notifications are not received.
How to submit Resident Admission-Discharge Form
The form can be submitted online by a patient’s primary doctor or specialist, home or community-based service provider, hospital, nursing home, etc. when they move from one level of care to another.