UnitedHealthcare Community Plan
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Reference Guides and Value-Added Services


UnitedHealthcare Community Plan works with a provider advisory committee comprised of network care providers representative of various member services. To learn more call Customer Service at 888-887-9003. 

For information about consumer lending business in Texas including non-commercial credit, small loans, installment sales and usury, visit The Texas Office of Consumer Credit Commissioner.


Reference Guides

Medicaid Eligibility Service Authorization for Long-Term Care Nursing Facilities (PDF 790.03 KB) - 8.28.2017

THSteps: All Six Componets for Annual Medical Checkup (PDF 311.05 KB) - 6.2.2017

Billing Both a Sick and Well Visit on the Same Day (CHIP, STAR and STAR+PLUS Members through Age 20) (PDF 64.86 KB) - 4.17.2017

Breaches in Confidential Information Quick Reference Guide (PDF 61.07 KB) - 11.3.2016

Behavioral Health Toolkit for Primary Care Providers (PCPs) (PDF 1.31 MB) - Updated 8.28.2017

Claims Processing Guidelines (PDF 41.25 KB)  8.1.2016

CommunityCare Quick Reference Guide (PDF 151.58 KB) - 11.8.2016

CommunityCare 2.0 User Guide (PDF 1.96 MB) - 10.26.2016

Community First Choice LTSS Provider Brochure (PDF 341.45 KB) - 7.27.2015

Electronic Statements & Payments: Adding an NPI to your Profile for Payment (PDF 38.77 KB) - 7.11.2016

Home and Community Based Setting Guidelines (PDF 50.58 KB) - 10.30.2015

PCP Management of Member After Hour Care (PDF 42.97 KB) - 10.12.2016

Medicaid Rural Service Areas Resource Page (PDF 429.87 KB)

Nurse Hotline and Speciality Referrals (PDF 99.18 KB) - 8.1.2016

PCP Asthma Action Guide with Medication Chart (PDF 660.15 KB) - 6.4.2015

PCP Guide to Long Term Services and Support (PDF 1.12 MB) - 7.22.2015

Prior Authorization Outpatient Therapy (Physical, Occupational and Speech Therapy) Quick Reference Guide (PDF 78.09 KB) - 8.16.2017 

Provider Quick Reference Guide 2015 (PDF 379.38 KB)

Sleep Test for Medicaid Members (PDF 126.02 KB)

STAR Kids Member Rights and Responsibilities (PDF 65.85 KB)  7.25.2016

STAR Kids Out-of-Network Claims Filing (PDF 34.55 KB) - 11.28.2016

STAR Quick Reference Guide (PDF 454.56 KB)

UnitedHealthcare Connected (Medicare-Medicaid) Contact Sheet (PDF 316.83 KB) - 4.16.2015

Welcome Brochure for STAR Kids - Nov. 1, 2016 (PDF 1.63 MB) - 7.17.2016


Value-Added Services, Incentives, Flexible Benefit & Rewards

CHIP, STAR, STAR+PLUS, and Dual Eligible Members Value-Added Services Update (PDF 139.4 KB) - 6.23.2017

Nursing Facility Value-Added Services (PDF 77.14 KB) - 11.28.2016

STAR Kids Value-Added Services Update (PDF 156.76 KB) - 6.23.2017 

UnitedHealthcare Connected (Medicare-Medicaid Plan) Flexible Benefits and Rewards and Incentives (PDF 139.4 KB) - 10.31.2016