UnitedHealthcare Community Plan
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We continue to ensure that all documents are updated for ICD-10 Terminology. Providers should be aware that ICD-9 content applies to dates of service prior to 10/1/2015. ICD-10 terminology and claims sets apply to dates of service 10/1/2015 and after, regardless of the status of the document. 

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UnitedHealthcare Community Plan of Kansas

We insure more pregnant moms, more children, and more aged, blind and persons with disabilities than anyone else. No one has a larger list of doctors and hospitals. We're a leader in working with community organizations to help the uninsured become insured, and the insured to get the best medical care possible. We're a leader in the effort to understand the social and cultural causes of disease. UnitedHealthcare has been in your community for years. We look forward to partnering with you.

UnitedHealthcare Responds to Ebola Concerns (PDF 80.08 KB)

Issues Log

The Provider Issue Log is updated on a weekly basis and provides the status, resolution and timing of global issues impacting multiple providers. Click here (PDF 734.07 KB) to access the Provider Issue Log. A technical issue has resulted in the temporary need to post the Issue Log in a different format. We will have the originally formatted version available and posted as soon as possible.

I/DD Waiver Implementation

Check back here for key information and updated regarding the inclusion of the I/DD waiver into KanCare.

Continuity of Care Period Ending 10/1/2014

As part of the implementation of the Intellectual and Developmentally Disabled Waiver (I/DD) into the KanCare program, the State of Kansas instituted a continuity of care period. This period was designed to ensure there were no service disruptions by having MCOs waive the need for prior authorizations for the provision of member care through July 31, 2014. UnitedHealthcare has extended that period through the end of September, but please note it will be ending on October 1, 2014, and all I/DD waiver services and targeted case management services will need to have a prior authorization in place for a claim to be approved.

If you have any questions please contact your provider advocate which is listed on our website or call our provider services line at 877-542-9235. Additional information about the program and any subsequent changes may be found at http://www.uhccommunityplan.com/health-professionals/ks.html

Continuity of Care Period for Members with I/DD Waiver Ends – Prior Authorization Now Required for Members to Continue Receiving I/DD waiver services or TCM (PDF 59.38 KB)

Provider After Hour Emergency Line

The Provider After Hour Emergency Number for the I/DD Waiver is 866-211-4570. This number has been established for providers to report urgent issues relative to a member’s I/DD waiver services that occur after standard business hours that effect the immediate health and/or well-being of members on the I/DD Waiver. Medical or life threatening emergencies should be directed to 911.

Providers should leave the member information, including member ID number and spelling of the member name, as well as the nature of the emergency on the confidential voicemail. A member of our Care Coordination staff will receive the information and assist with the emergency situation and follow up with the caller call.

This telephone number should not be used to report issues with claims or authorizations. Issues with claims and authorizations should be directed to your HCBS Provider Advocate.

Provider Training

Access our I/DD Provider Training Schedule for the dates, times and connection information for provider education opportunities: IDD Provider Training Schedule (PDF 326.63 KB)  

Providers may access the presentation/training materials here: IDD Provider Training Presentation
(PDF 3.82 MB)
Questions that were not answered during the I/DD Provider Training Sessions will be posted here (PDF 190.03 KB) with the responses.

Provider Advocate Contact Information
Providers may click here (PDF 308.68 KB) to access the HCBS Provider Advocate Territory Map to identify the Provider Advocate in your area.

United IDD Provider Billing Guidelines
Click here (PDF 129.58 KB) for the current guidelines.
Click here (PDF 196.56 KB) for Atypical Provider Billing Bulletin.

Billing Issues Related to NPI Number
Providers who are experiencing claim issues related to NPI number may click here (PDF 105.34 KB) for suggested steps to follow to help identify and correct the provider NPI issue.


UnitedHealthcare Provider Contact List

View details

UnitedHealthcare’s provider support teams are available to assist Kansas Providers. 

Call Center Support

Provider Services Call Center  


Prior Authorization Call Center


UHCOnline Customer Service (website assistance)

866-842-3278 Option 2


Physical Health Providers

Network Team for contracting/credentialing           


Provider Advocate Team



Physical Health Provider Advocate Map (PDF 299.08 KB)



Behavioral Health/Substance Use Disorder Providers

Customer Care Professional Call Center


Provider Relations Lead Monica Meek


Fax authorizations or provider concerns


Sandra K Hashman-Evans, Executive Director

Sandra.hashman@optum.com; 913-333-4051


Nursing Facilities

Nursing Facility Provider Support Line


Mona Hull, Provider Advocate Manager

Mona_hull@uhc.com; 612-642-7797

Michelle Cowen, Provider Advocate

michelle.cowen@optum.com; 913-323-1037


Nursing Facility Provider Advocate Map  (PDF 385.42 KB)



Home and Community Based Service Providers

HCBS Provider Support Team Email


Krista Hayes, HCBS Network Manager

kristahayes@uhc.com; 913-333-4013

Jennifer Crawford, Northeast Kansas


Brenda Schumacher, Northcentral & Northwest Kansas

jennifer_crawford@uhc.com; 785-234-1279

brenda_schumacher@uhc.com; 785-621-2127

Tamara Sands, Southcentral & Southwest Kansas

Craig Sangals, Southeast Kansas

Tamara_sands@uhc.com; 620-227-2498

craig_sangals@uhc.com; 316-321-1025

Home and Community Based Services Provider Advocate Map 
(PDF 308.68 KB) 

Vision Providers

OptiCare Provider Support Center




Pharmacy Providers

OptumRx Help Desk – for pharmacy claim


OptumRx Network Management


Jennifer Murff, Kansas Pharmacy Manager

Jennifer.Murff@uhc.com; 913-333-4002


Dental Providers

Provider Services Call Center



Transportation Providers

LogistiCare Provider Support Line



Provider Administrative Guide

Click here to access the UnitedHealthcare Provider Administrative Guide.

Find A Doctor 

Click here to access Find A Doctor, our online provider search tool.  

Access a pdf Provider Directory:  
     Eastern third of Kansas (PDF 7.15 MB) 
     Middle third of Kansas (PDF 5.73 MB) 
     Western third of Kansas (PDF 3.85 MB)
     HCBS Provider Directory (PDF 5.85 MB)

Medical Injectables

Specialty pharmacy medications covered on the Medical Benefit may be provided through a variety of channels – home infusion provider, outpatient facility, physician, or specialty pharmacy.

For physicians who do not want to buy-and-bill a specialty pharmacy medication that is covered on the Medical Benefit, they may choose to source it through a network specialty pharmacy:

Network Specialty Pharmacy

Phone Number



BioScrip (offers nursing services)

• also a National Home Infusion Provider for Medical Benefit medications


The following specialty pharmacies may also provide specific categories of specialty pharmacy medications:

Network Specialty Pharmacy

Medication Category

Phone Number

Accredo (offers nursing services)

Enzyme Deficiency

Gaucher's Disease

Immune Globulin

Pulmonary Hypertension



Option Care (offers nursing services)

Cardiovascular/Heart Failure

Enzyme Deficiency

Gaucher's Disease


Immune Globulin



CVS Caremark Specialty Pharmacy

Enzyme Deficiency

Gaucher's Disease


Pulmonary Hypertension


Coverage of the requested drug is dependent on the member's benefits, and the availability of a specific drug from a network specialty pharmacy may vary.

The Specialty Pharmacy can deliver the medication to the healthcare practitioner's office or another site (ex. patient's home) upon request, and the Specialty Pharmacy will bill the patient's health plan directly.


Disclosure forms

Disclosure Forms are required for all contracted providers. If you are already a network provider and have not submitted your completed disclosure form, please email the form to ks.disclosure.forms@uhc.com

Provider Notice Archives

Kansas Department of Health and Environment's Division of Health Care Finance and the Kansas Foundation for Medical Care (KFMC) are working together to assist Medicaid providers in Kansas with implementing health information technology. The documents available at this link describe the services offered and eligibility criteria.

KDHEMU Notice Faxable (PDF 143.32 KB)

KDHEMU Notice For Stakeholder Newsletters (PDF 142.57 KB)


UnitedHealthcare Community Plan Medical Policies and Coverage Determination Guidelines


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 38.15 KB) to download our policy.