UnitedHealthcare Community Plan
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UnitedHealthcare Community Plan Maryland Providers

You don't have time to spare: that's why we put all the documents you need in one place. Use the navigation menu on the left to find what you're looking for fast.

 

Current Provider Alerts

Opioid Prescription Policy Changes Webinars (PDF 268.87 KB) - 8.8.2017

Case Management Services for HealthChoice Members (PDF 35.74 KB) - 8.1.2017

 

Contact Us

Hours of Operation: 9:00 am - 9:00 pm EST
Provider Call Center: 877-842-3210
Member Services Number: 800-318-8821 (TTY 711),  Monday-Friday, 8:00 am to 7:00 pm EST 

Mailing Address:
UnitedHealthcare Community Plan
6220 Old Dobbin Lane
Columbia, MD  21045

Claims Mailing Address:
UnitedHealthcare Community Plan
PO Box 31365
Salt Lake City, UT 84131 

Utilization Denial & Appeals Department Mailing Address:
UM Denial & Appeals Department
PO Box 31365
Salt Lake City, UT 84131

Claims Appeals Mailing Address:
UnitedHealthcare Community Plan Appeals-Maryland
PO Box 31365
Salt Lake City, UT 84131

Credentialing Updates:
Contact the National Credentialing Center at 1-877-842-3210.

Report Health Care Fraud, Waste and Abuse: 844-359-7736 or uhc.com/fraud

 

Prior Authorization

Prior authorization is required for some services. A current list of prior authorization services, forms, and how to request authorization can be found on the "Prior Authorization Requirements" tab on the left menu.

 

Maryland Specialty Referral Requirements

Referrals are required for most specialty services. The links below provide more information on our referral requirements including how to submit online referrals. 

Referral Information - FAQ (PDF 87.09 KB)
Referral Information - Quick Reference Guide (PDF 129.39 KB)
Maryland Uniform Consultation Form (PDF 41.57 KB)

Click here for Referral Submissions and Referral Status 

 

UnitedHealthcare Community Plan Medical & Drug Policies and Coverage Determination Guidelines

UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies and Coverage Determination Guidelines to assist us in administering health benefits. These policies and guidelines are provided for informational purposes, and do not constitute medical advice.
View the guidelines

UnitedHealthcare Medicare Advantage Coverage Summaries

For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage Coverage Summaries Manual and corresponding policy update bulletins here

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. 
View our policy (PDF 38.15 KB).

Disclaimer

If UHG 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.