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NOTICE: Iowa Medicaid care providers must re-enroll with the Iowa Medicaid Enterprise (IME) by Oct. 31, 2017 to continue being reimbursed for services by UnitedHealthcare. For additional information, call IME Provider Services at 800-338-7909.

Please select the state where you practice.

Billing & Reference Guides


Current billing and reference guides are listed below. 

 

UnitedHealthcare Community Plan

2016 Comparison of the State of Iowa Medicaid Enterprise Basic Benefits Based on Eligibility - 4.8.2016

Behavioral Health Level of Care Guidelines - 9.28.2016

Behavioral Health Options for Eligibility, Benefits & Authorization (PDF 66.53 KB) - 6.6.2016

Behavioral Health Virtual Peer Support Group Resources (PDF 95.44 KB) - 4.10.2016

Chiropractic Plan Summary (PDF 282.62 KB) - 2.15.2016 

Consumer-Directed Attendant Care Daily Service Records Instructions (PDF 56.28 KB) - 5.16.2017

Critical Incident Report Form Reference Guide (PDF 615.06 KB) - 7.25.2017

Health Homes - Chronic Condition Health Home (CCHH) Reference Guide (PDF 75.59 KB) - 12.19.2016

Health Homes - Integrated Health Home (IHH) Reference Guide (PDF 85.37 KB) - 4.10.2017

Home and Community-Based Services Settings Reference Guide (PDF 118.39 KB) - 3.1.2016

Home and Community-Based Services (HCBS) and Long Term Services and Supports (LTSS) Quick Reference Guide (PDF 51.4 KB) - 4.13.2017

IA Health Link Frequently Asked Questions (PDF 231.87 KB) - 5.31.2016

Informational Brochure (PDF 427.15 KB) - 12.20.2015 

Link and UnitedHealthcareOnline.com Introduction (PDF 770.6 KB) - 2.15.2016

MTM Transportation Resource Guide (PDF 340.16 KB) - 7.20.2017

Nursing and Skilled Nursing Facility Quick Reference Guide (PDF 52.2 KB) - 9.13.2017 

Physical Therapy / Occupational Therapy / Speech Language Pathology Plan Summary (PDF 177.75 KB) - 2.15.2016

Quick Reference Guide (verify eligibility, where to submit claims) (PDF 323.11 KB) - 4.27.2016

Recommended Childhood Immunization Schedules (PDF 180.91 KB) - 3.9.2016

Recovery Tool Programs for Behavioral Health Care Providers (PDF 60.1 KB) – 6.2.2017

UnitedHealthcare Community Plan Prior Authorization IA - Effective 10/1/2016 (PDF 207.74 KB) - 9.23.2016

UnitedHealthcare Community Plan Prior Authorization IA - Effective 4/1/2017 (PDF 221.1 KB) - 3.21.2017 

UnitedHealthcare Community Plan Prior Authorization IA - Effective 7/1/2017 (PDF 233.91 KB) - 6.23.2017

UnitedHealthcare Community Plan Prior Authorization IA - Effective 10/1/2017 (PDF 252.31 KB) - 9.25.2017

UnitedHealthcare Online Product ID Crosswalk Quick Reference Guide (PDF 301.99 KB) - 6.14.2017

Value-Added Member Benefits (PDF 521.96 KB) - 4.21.2016

Why File Claims Electronically (PDF 75.18 KB) - 5.10.2016

 

 

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