UnitedHealthcare Community Plan
You appear to be browsing this site using Internet Explorer 6. This browser is now out of date. For safer, more reliable browsing it is recommended that you upgrade your browser to Firefox, Safari or Internet Explorer 7 or 8.
Shortcut Navigation:
IA_Health_Link-hawki_combined_1

 

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

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

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)

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

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

 

 

Archived hawk-i Billing and Reference Guides

Click on the arrow above to view the archives. 

NCQA Accredited HealthPlan