UnitedHealthcare Community Plan
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Approved Provider Administrative Guide
The chapters of our Provider Administrative Guide that have been approved by the state of Kansas are posted here. The state has approved the final content of these chapters. We will update these chapters with an updated sample member ID card and a final electronic payer ID number for the Kansas Medicaid program, and a table of contents will be updated once all chapters receive final approval, but the content is the final version and approved.

Chapter 1 - Corporate Overview (PDF 227.19 KB)

Chapter 2 - Quick Reference Guide (PDF 516.8 KB)

Chapter 3 - Member Benefits (PDF 546.9 KB)

Chapter 4 - Medical Management (PDF 1.43 MB)

Chapter 5 - Member Grievances and Appeals (PDF 369.97 KB)

Chapter 6 - Behavioral Services (PDF 1.14 MB)

Chapter 7 - Quality Management (PDF 306.53 KB)

Chapter 8 - Hospital Services (PDF 487.27 KB)

Chapter 9 - Dental (PDF 3.69 MB)

Chapter 10 - Durable Medical Equipment (DME) (PDF 256.2 KB)

Chapter 11 - Hospice (PDF 517.14 KB)

Chapter 13 - Long Term Care (PDF 446.19 KB)

Chapter 14 - Rehabilitative Therapy (PDF 710.63 KB)

Chapter 15 - Claims (PDF 585.86 KB)

Chapter 16 - Physician and Facility Standards and Policies (PDF 1.12 MB)

Chapter 17 - Physician Communications and Outreach (PDF 378.92 KB)

Chapter 18 - Frequently Asked Questions (PDF 632.34 KB)

Chapter 19 - Glossary and Index of Terms (PDF 355.26 KB)

Chapter 20 - Appendix (PDF 2.44 MB)

Chapter 21 - Kansas Regulatory Requirements Appendix (PDF 311.67 KB)

Non-Emergency Medical Transportation Provider Manual (PDF 4.9 MB)

Pharmacy Provider Manual

Vision Provider Manual (PDF 696.08 KB)