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October 2018: UnitedHealthcare Community Plan Significantly Expanding Dual Special Needs Program – UnitedHealthcare Dual Complete

On Jan. 1, 2019, UnitedHealthcare will begin serving eligible members in a Dual Special Needs Plan (DSNP) – UnitedHealthcare Dual Complete,® a Medicare Advantage plan – in almost 250 new counties across the United States. This expansion includes two states new to the Dual Complete offering — Maryland and Kentucky — new to the Dual Complete offering and 16 states that will be expanding coverage by entering new service areas. This is a Medicare Advantage plan for members who qualify for both Medicare and Medicaid. DSNPs are a specialized type of Medicare Advantage Prescription Drug Plan (MAPD) and must follow existing Centers for Medicare & Medicaid Services (CMS) rules.

Here’s a list of these states and counties launching the plan on Jan. 1, 2019:

New State: Kentucky – Boone, Bullitt, Campbell, Fayette, Franklin, Hardin, Jefferson, Jessamine, Kenton, Larue, Madison, Marion, Nelson, Oldham, Shelby, Spencer and Woodford

New State: Maryland – Montgomery

Colorado – Larimer

Delaware – Kent and Sussex

Iowa – Appanoose, Benton, Black Hawk, Boone, Bremer, Buchanan, Butler, Carroll, Cedar, Chickasaw, Clarke, Clayton, Clinton, Davis, Delaware, Des Moines, Fayette, Floyd, Greene, Grundy, Guthrie, Hamilton, Hardin, Henry, Iowa, Jackson, Jefferson, Johnson, Jones, Keokuk, Linn, Louisa, Lucas, Mahaska, Marion, Mills, Monroe, Muscatine, Pottawattamie, Poweshiek, Scott, Tama, Van Buren, Wapello, Washington, Wayne and Webster

Louisiana – Acadia, Assumption, Bienville, Bossier, Caddo, Claiborne, De Soto, Evangeline, Iberia, Lafayette, Ouachita, Pointe Coupee, Rapides, Red River, St. Landry, St. Mary, Vermilion, Webster and West Feliciana

Michigan – Allegan, Barry, Bay, Calhoun, Kalamazoo, Kent, Mecosta, Montcalm, Newaygo, Ottawa, Saginaw, Sanilac, St. Joseph and Van Buren

Mississippi – George, Holmes, Lawrence, Marion, Quitman, Scott, Simpson, Smith, Stone and Yazoo

Missouri – Andrew, Audrain, Barry, Barton, Bates, Caldwell, Camden, Carroll, Clinton, Cooper, Howard, Iron, Madison, Maries, McDonald, Moniteau, Monroe, Montgomery, Pike, St. Clair and Vernon

Nebraska – Adams, Buffalo, Burt, Dodge, Gage, Hall, Madison, Otoe, Saline, Saunders, Seward and Washington

New Mexico – Chaves, Colfax, Curry, Quay and Torrance

New York – Allegany, Cattaraugus, Cayuga, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Essex, Genesee, Greene, Hamilton, Herkimer, Lewis, Livingston, Madison, Montgomery, Ontario, Orleans, Oswego, Putnam, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, Sullivan, Warren, Washington, Wayne, Wyoming and Yates


Ohio – Knox, Richland, Ross, Scioto and Washington

Oklahoma – Adair, Cherokee, Craig, Creek, Delaware, Grady, Muskogee, Osage, Seminole, Sequoyah, Tulsa and Wagoner

Pennsylvania – Cumberland, Forest, Franklin, Huntingdon, Jefferson, Juniata, Monroe, Perry, Snyder, Susquehanna, Venango and Wyoming

Texas – Anderson, Bandera, Cherokee, Clay, Cooke, Delta, Ector, Falls, Fannin, Hill, Hopkins, Howard, Hunt, Matagorda, Medina, Midland, Montague, Rains, Red River, Starr, Tom Green, Wharton, Wise and Zavala

Washington – Benton, Walla Walla and Whatcom

Wisconsin - Clark, Door, Iron, Juneau and Lafayette

The UnitedHealthcare Dual Complete Program will reimburse claims according to your UnitedHealthcare contractual Medicare Advantage payment appendix. Visit UHCprovider.com for additional information on the Dual Complete Plan. 

 

More Information

To find out more about our programs, visit UHCprovider.com > Menu > Resource Library > UnitedHealthcare Enterprise Medical Records Program.  To get started, visit Link on UHCprovider.com and choose the Remote EMR Access tool. You can also ask your Provider Advocate for additional assistance.