Provider Information
Welcome to the UnitedHealthcare Community Plan Health Professionals area for Delaware providers!
Here you will find the information, forms, manuals and links you need to conduct business with UnitedHealthcare Community Plan.
Note: DMAP is now accepting attestations from Delaware providers eligible to receive the PPACA increase for certain E&M and VFC fees. Providers attesting before June 30 will be eligible for retroactive payments at the Medicare Part B rate back to January 1, 2013. Attestations completed after July 1 will authorize increase payments as of the effective date only. Click here for more information.
Attention Providers: Some phone numbers for UHC staff members have changed. Click "Contact Us" for the updated information.
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Manuals and Forms
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Helpful Links & Information
UnitedHealthcare Community Plan received NCQA New Health Plan Accreditation on July 7, 2010. NCQA’s mission is to improve the quality of health care, and participating in their accreditation process is voluntary. NCQA’s New Health Plan Accreditation Program applies to health plans that are less than 36 months old. The program is distinct from NCQA’s MCO Accreditation Program. NCQA Accreditation is a nationally recognized evaluation that purchasers, regulators, and consumers can use to assess managed care plans.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. Click here (PDF 34.75 KB) to download our policy.
Disclaimer
If UHG Medical 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.