UnitedHealthcare Community Plan
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UnitedHealthcare Community Plan Mississippi Providers

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.

 

Training: Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Training Required for Mississippi Care Providers


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

Tue., May 23 at Noon (Central) - Register now
Wed., May 24 at Noon (Central) - Register now
Thurs., May 25 at Noon (Central) - Register now

For more information on what you will learn and who should attend:
EPSDT Care Provider Training (PDF 235.5 KB) - Posted 5.22.2017

 

Contact Us

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:
UnitedHealthcare
795 Woodlands Parkway
Suite 301
Ridgeland, MS  39157

Claims Mailing Address:

P.O. Box 5032
Kingston, NY  12402-5032

 

Prior Authorization Archive

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

UnitedHealthcare Medicare Solutions and UnitedHealthcare Community Plan-Medicare Notification/Prior Authorization Requirements - Effective 1/1/2017 (PDF 306.96 KB)

UnitedHealthcare Medicare Solutions and UnitedHealthcare Community Plan-Medicare Notification/Prior Authorization Requirements - Effective 4/1/2017 (PDF 300.79 KB)

UnitedHealthcare Community Plan Prior Authorization MS CAN - Effective 1/1/2017 (PDF 200.03 KB)

UnitedHealthcare Community Plan Prior Authorization MS CHIP - Effective 1/1/2017 (PDF 206.71 KB)

UnitedHealthcare Community Plan Prior Authorization MS CAN - Effective 10/1/2016 (PDF 205.14 KB)

UnitedHealthcare Community Plan Prior Authorization MS CHIP - Effective 10/1/2016 (PDF 209.24 KB)

UnitedHealthcare Community Plan Prior Authorization MS CAN - Effective 7/1/2016 (PDF 217.95 KB)

UnitedHealthcare Community Plan Prior Authorization MS CHIP - Effective 7/1/2016 (PDF 194.81 KB)

UnitedHealthcare Community Plan Prior Authorization - MS CAN - effective 5/1/2016 (PDF 195.31 KB)

UnitedHealthcare Community Plan Prior Authorization - MS CHIP - Effective 5/1/2016 (PDF 190.5 KB)

UnitedHealthcare Community Plan Prior Authorization - MS CAN - Effective 1/1/2016 (PDF 202.93 KB)

UnitedHealthcare Community Plan Prior Authorization - MS CHIP - Effective 1/1/2016 (PDF 180.68 KB)

Prior Authorization CAN (PDF 206.93 KB) - Effective December 7, 2015

Prior Authorization CHIP (PDF 181.17 KB) - Effective December 7, 2015

Advance Notification Requirements for Mississippi CAN – Effective March 1, 2015 (PDF 201.32 KB)
Advance Notification Requirements for Mississippi CHIP – Effective March 1, 2015 (PDF 181.85 KB)

MS CAN Prior Authorization (PDF 19.71 KB)

 

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.