UnitedHealthcare Community Plan
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Effective October  1, 2013 UnitedHealthcare Community Plan has been purchased and renamed Wellcare.

As a result of this change, starting October 1, 2013, all UnitedHealthcare Community Plan members will automatically be enrolled with Wellcare.  Wellcare will mail a new member ID card and packet to each former UnitedHealthcare Community Plan member who transferred to Wellcare. Should you have any questions about this transition, please call Wellcare Member Services at 1-888 588 9842.

All UnitedHealthcare Community Plan members transferring to Wellcare may be able, if desired, to select another health plan beginning October 1, 2013 through December 20, 2013.  To select another health plan, current members should contact South Carolina Healthy Connections Choices (SCHCC) at 1.877.552.4642 (TTY 1.877.552.4670)

Providers with questions regarding UnitedHealthcare Community Plan claims or appeals for DOS prior to October 1, 2013 may call Provider Services at 1.800.600.9007.  All other UnitedHealthcare lines of business (Employer and Individual Plans and Medicare Plans) will remain with UnitedHealthcare who can be reached toll-free at 1.877.842.3210 or via our website at unitedhealthcareonline.com

Thank you for contacting UnitedHealthcare.

Changes in Copayments

Effective Jan. 1, 2012, there is a copayment change for Primary Care Provider office visits: from $0 to $3.30 copayment for age 19 and older. Specialist, Facility and Ancillary copayments went into effect Aug. 1, 2011.

• Children 18 and under have no copayments for Primary Care Provider or Specialist services

• Copayments do not apply to pregnant Members

Changes to Member Benefits

Routine circumcisions will no longer be a covered benefit as of April 1, 2012.

• Beginning April 1, 2012 ,or such later date as implemented and specified by SCDHHS, UnitedHealthcare Community Plan will begin to cover outpatient behavioral health services, except those provided in Department of Mental Health facilities. Coverage of inpatient behavioral health services, excluding Department of Mental Health facilities, began May 1, 2011.

Please contact your Physician or Hospital and Facility Advocate or call the Provider Services Department at 800-600-9007 with any questions.

Welcome to the UnitedHealthcare Community Plan Health Professionals area for South Carolina providers.

Here, you will find the information and links you need to conduct business with UHC Community Plan.  Choose your topic of interest by selecting one of the left navigation buttons.

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.

Contact Us

Provider Call Center

800-600-9007
Monday-Friday, 8 a.m. – 5 p.m. 

Postal Mailing Address

UnitedHealthcare Community Plan
UnitedHealthcare Plaza
1001 Brinton Road
Pittsburgh, PA 15221
 

Claims Mailing Address

UnitedHealthcare Community Plan
PO Box 8207
Kingston, NY 12402
 

Utlization Management Appeals Address   

UnitedHealthcare Administrative Services, LLC
Attn: Grievances and Appeals Coordinator
1001 Brinton Road
Pittsburgh, PA 15221
 

Claims Appeals Mailing Address

UnitedHealthcare Administrative Services, LLC
Attn: Grievances and Appeals Coordinator
1001 Brinton Road
Pittsburgh, PA 15221
 

Forms & Manuals
SBIRT (Screening, Brief Intervention, and Referral to Treatment)
What is SBIRT?

An evidenced-based, low-cost and member-friendly method approach to the identification, intervention and treatment of substance abuse problems.

What are the core clinical components of SBIRT?
  1. Screening – very brief to identify substance use, behavioral health issues and domestic violence
  2. Brief Intervention – raise awareness of risks and motivates the patient toward acknowledging there is a problem
  3. Brief Treatment – cognitive behavioral work for member to acknowledge risks
  4. Referral – when a risk is identified referred for more intensive treatment
Why is SBIRT important?
Research indicates SBIRT may:
  • Stem progression to independence
  • Improve medical conditions
  • Prevent medical conditions related to substance use, abuse and dependence
  • Decrease trauma related mortality
  • Alcohol alone is a factor in up to 70% of homicides, 40-50% of fatal MVA’s, 60% fatal burns and 40% fatal falls.
Who supports SBIRT?
In an effort to expand and enhance state substance use identification and treatment, the South Carolina Department of Health and Human Services, along with the Absolute Total Care, the remaining Medicaid health plans, the South Carolina Department of Alcohol and Other Drug Abuse Services (DAODAS), and the South Carolina Quit Line have partnered to develop proider training to assist with the identification, intervention and referral of our most vulnerable population, our pregnant Medicaid members who may benefit from further substance use treatment.

SBIRT is also supported by the World Health Organization, American Preventative Task Force, American Trauma Nurses Association, American Medical Association and American College of Surgeons.

SBIRT Documents

Alcohol Consumption Exam Room Poster (PDF 348.19 KB)
Authorization to Disclose Protected Health Information-SBIRT Referral Only (PDF 98.65 KB)
Provider Presentation (PDF 578.98 KB)
SBIRT Contacts List (PDF 220.45 KB)
SBIRT County Contacts (PDF 708.46 KB)
Quit Line Click to Call (PDF 288.33 KB)
Quit Line Fax Referral Form (PDF 497.69 KB)
Quit Line Provider Training (PDF 202.65 KB)
Screening Program for Pregnant Medicaid Enrollees (PDF 144.25 KB)
SCDMH Referral Form (PDF 58.17 KB)
SBIRT DADOAS Referral Form (PDF 240 KB)
Universal Screening Tool (PDF 176.23 KB)