Welcome to the UnitedHealthcare Community Plan Health Professionals area for Mississippi providers.
Here you will find the information, forms, manuals and links you need to conduct business with UnitedHealthcare Community Plan.
Please choose your topic of interest, by selecting one of the navigation buttons on the left-hand side of the page, or select one of the topics or products below to reveal our Contact Information, Provider Administrative Manuals and Forms.
If you’re a care provider who performs EPSDT services, UnitedHealthcare is requesting that you attend an educational session. We want to help you meet this requirement, so we’ll be hosting three EPSDT Provider Education webinars in May. Please check your schedule and plan to attend one of them.
Scheduled Training Dates:
Password is: UHC
For more information on what you will learn and who should attend:
EPSDT Care Provider Training (PDF 235.5 KB) - Posted 5.22.2017
Contract, Demographic, and Network Related Issues: (800) 557-9933
Claims or Service Related Questions: (800) 557-9933
Hours of Operation (Call Center): 8AM - 6PM
Postal Mailing Address:
795 Woodlands Parkway
Ridgeland, MS 39157
Claims Mailing Address:
P.O. Box 5032
Kingston, NY 12402-5032
Click on the arrow above to view the prior authorization archive.
Prior Authorization CAN (PDF 206.93 KB) - Effective December 7, 2015
Prior Authorization CHIP (PDF 181.17 KB) - Effective December 7, 2015
MS CAN Prior Authorization (PDF 19.71 KB)
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.
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).
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.