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.

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, Prior Authorizations, Coverage Guidelines, Policies and more. 

 

Provider Training
Workshops and More

Mississippi Division of Medicaid Care Provider Workshops (PDF 187.14 KB). Please go to medicaid.ms.gov for topics and to RSVP.

Contact Us
By Phone

Contract, Demographic, and Network Related Issues: (800) 557-9933

Claims or Service Related Questions: (800) 557-9933

Hours of Operation (Call Center): 8 am - 6 pm CST

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

By Mail


Postal Mailing Address:
UnitedHealthcare
795 Woodlands Parkway
Suite 301
Ridgeland, MS  39157

Claims Mailing Address: 
P.O. Box 5032
Kingston, NY  12402-5032

Prior Authorizations
Prior Authorizations Archive

UnitedHealthcare Community Plan Prior Authorization MS CAN - Effective 4/1/2017 (PDF 200.13 KB)

UnitedHealthcare Community Plan Prior Authorization MS CHIP - Effective 4/1/2017 (PDF 207.51 KB)

UnitedHealthcare Medicare Solutions and UnitedHealthcare Community Plan-Medicare Notification/Prior Authorization Requirements - Effective 5/1/2017 (PDF 299.55 KB)

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.