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:

What can we do to make the UnitedHealthcare Provider Manuals better for you? Click here to provide feedback.

Please select the state where you practice.

You don't have time to spare: that's why we put all the documents you need in one place.

Use the navigation items on the left to find what you're looking for fast. 

Contact Us

Click on the arrow above to view our contact information.  

Provider Call Center

866-815-5334
8 a.m. – 5 p.m. CST (except State designated holidays)
 

Provider Relations Team

Missouri_PR_Team@uhc.com

 

Network Management Team

866-574-6088
mo_network_mgmt@uhc.com
 
 

Postal Mailing Address

UnitedHealthcare Community Plan of Missouri
13655 Riverport Drive
Maryland Heights, MO 63043
 

Claims Mailing Address

UnitedHealthcare Community Plan
PO Box 5240
Kingston, NY 12402-5240
 

Appeals Address   

UnitedHealthcare Community Plan of Missouri
Attention: Provider Dispute
P.O. Box 31364
Salt Lake City, Utah 84131-0364
 

Additional Information

Behavioral Health
Optum Behavioral Health
866-815-5334
https://www.providerexpress.com/content/ope-provexpr/us/en.html

Dental Care
UnitedHealthcare Dental
855-934-9818
https://uhcpwp.sciondental.com/PWP/Landing

Member Transportation
Medical Transportation Management
866-292-0359
https://www.mtm-inc.net/

Vision Care
March Vision Care
844-616-2724
https://marchvisioncare.com/



 

Prior Authorization

To request prior authorization for Pediatric Care Network (PCN) members, contact PCN at 1-877-347-9367. 

Prior Authorization Fax Request Form (PDF 238.66 KB)

UnitedHealthcare Community Plan Prior Authorization MO - Effective 7/1/2017 (PDF 173.76 KB)

Prior Authorization Archive

Click on the arrow above to view the prior authorization archive.

 

Provider Resources

Behavioral Health Care Provider Quick Reference Guide (PDF 77.26 KB)

Care Provider Quick Reference Guide (PDF 188.95 KB)

EPSDT Guide (PDF 325.62 KB)

MTM Information Sheet (PDF 263.85 KB)

Request for a Change of Primary Care Provider (PCP) Paper Fax Form (PDF 30.98 KB) - Posted 5.5.2017 

Pediatric Care Network (PCN)

Pediatric Care Network will provide delegated medical management services for UHC Community Plan Pediatric Care Network members including case management, utilization management and disease management. Resources are available for providers including reference guides, office forms, frequently asked questions and more. View Pediatric Care Network Provider Resources.

 

 

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

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.