UnitedHealthcare Community Plan is an Arizona Medicaid health plan serving AHCCCS, KidsCare, Developmentally Disabled (DD) and Children's Rehabilitative services (CRS) members. We have more than 30 years of experience serving families throughout Arizona.
We serve AHCCCS and KidsCare members in Apache, Cochise, Coconino, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Santa Cruz, Yavapai and Yuma counties.
We have one of the largest provider networks in Arizona to serve you. Our goal is to help you take charge of your health by helping you to take good care of yourself and your family.
Welcome letter for former Maricopa Health Plan members (PDF 120.54 KB)
At UnitedHealthcare Community Plan, we care about our members; and as such, we value all of the cultural differences that our members possess. Beliefs about the cause, prevention, and treatment of illness vary among cultures. These beliefs need to be respected in the practices used to maintain UnitedHealthcare Community Plan members' health.
At UnitedHealthcare Community Plan, we know the importance of communication and strive to meet all of our members needs. UnitedHealthcare Community Plan can provide interpretation/translation services at no charge.
UnitedHealthcare Community Plan provides member materials to you in a language or format that may be easier for you to understand.
Call UnitedHealthcare Community Plan Member Services at 1-800-348-4058 for translation services, to find a doctor who understands your cultural needs, or for materials in another language or format. These services are provided at no cost to you.
Cultural Competency Plan Goals and Objectives for LTC, Acute, CRS, DDD for CYE 15 (PDF 303.97 KB)
En UnitedHealthcare Community Plan, nos importan nuestros miembros; y como tal, valoramos todas la diferentes culturas que posean nuestros miembros. Las creencias acerca de la causa, prevencion y tratamiento de enfermedad varean entre culturas. Estas creencias necesitan ser respetadas en las practicas usadas para mantener la salud de los miembros de UnitedHealthcare Community Plan.
En UnitedHealthcare Community Plan, nosotros sabemos la importancia de la comunicacion y nos esforzamos a satisfaser todas las necesidades de nuestros miembros. UnitedHealthcare Community Plan puede proveer servicios de interpretacion/traduccion a ningun costo.
UnitedHealthcare Community Plan le provee materiales de membresia en un idioma o formato que sea mas facil para que usted entienda.
Llame al Departamento de Servicios al Miembro de UnitedHealthcare Community Plan al 1-800-348-4058 para servicios de traduccion, para encontrar un doctor quien entienda sus necesidades culturales y para recibir materiales en otro idioma o formato. Estos servicios estan disponible a usted a ningun costo.
Transportation is covered for members that do not have a ride. Call 1-888-700-6822 for transportation assistance. You can call this toll-free number from anywhere in the state. You must call as soon as you schedule your appointment. You must arrange your ride 3 days prior to your health care visit.
We have alternative ways for you to get to and from your healthcare visit. Bus passes may be available for local trips. Shuttle vans and buses may be available for longer trips.
Emergency Dental Benefit (PDF 56.53 KB)
Podiatry Benefit Notice (PDF 31.38 KB)
Appointment Guidelines: Getting Needed Care - How soon should I expect to be seen by a doctor and how do I get the care I need?
English (PDF 167.05 KB) | Espanol (PDF 178.1 KB)
Behavioral Health Notice for members who are 18 years of age and older, and have Medicare Parts A and/or B (PDF 46.95 KB)
Behavioral Health Services Change Beginning October 1, 2015 (PDF 31.58 KB)
Orthotics Benefit Notice (PDF 35.22 KB)
Better Member Call Experience Begins August 2015 (PDF 85.74 KB)
AHCCCS Notice for SMI Members in Maricopa County (English) (PDF 51.48 KB)
AHCCCS Notice for SMI Members in Maricopa County (Spanish) (PDF 51.26 KB)
AHCCCS Notice for American Indian SMI Members in Maricopa County (English) (PDF 54.22 KB)
AHCCCS Notice for American Indian SMI Members in Maricopa County (Spanish) (PDF 51.81 KB)
New Outpatient Physical Therapy Benefit for Adult AHCCCS Members Beginning March 1, 2014 (PDF 84.26 KB)
Changes to Some Co-payments Beginning January 1, 2014 Beginning January 1, 2014, there will be changes to co-payments for some AHCCCS members that are not in the Member Handbook. Read the Co-payment section of the Member Handbook for information about other Co-payments. Here are the changes to co-payments that are not in the Member Handbook and that will start on January 1, 2014.
Notice of Co-pays for Taxi Rides - Effective February 2012
For AHCCCS Care Members in Maricopa and Pima counties. Click here (PDF 202.91 KB) for more information.
Missed Appointment Fee - Effective January 2, 2012
There will be a missed appointment fee for members living outside of Maricopa and Pima counties.
Click here (PDF 569.78 KB) for more information and click here for the AHCCCS website.
To help protect your identity and prevent fraud, AHCCCS is adding pictures to its on-line verification tool that providers use to verify your coverage. If you have an Arizona driver’s license or state issued ID, AHCCCS will get your picture from the Arizona Department of Transportation Motor Vehicle Division (MVD). When providers pull up the AHCCCS eligibility verification screen, they will see your picture (if available) with your coverage details. Click here for more information.
Nationwide Vision is New Provider - Effective November 1, 2011
UnitedHealthcare Community Plan has a new agreement with Nationwide Vision to provide vision care services for our members, beginning November 1, 2011. Click here (PDF 44.39 KB) for more information.
Member Benefit Changes - Effective October 1, 2011
Due to Arizona's budget problems, some of the services that you may receive are being reduced beginning October 1, 2011. Limits are being placed on the number of inpatient hospital days and the hours of available respite care per year. Click here (PDF 43.01 KB) for more information.
New Copays for Transitional Medical Assistance- Effective October 1, 2010
You will have higher co-payments (co-pays) for AHCCCS medical services beginning October 1, 2010 because you are in the Transitional Medical Assistance (TMA) program. Click here for more information. (PDF 52.08 KB)
New Copays for Title 19 Waiver Group- Effective October 1, 2010
You will have higher co-payments (co-pays) for AHCCCS medical services beginning October 1, 2010 because you are getting AHCCCS services in the AHCCCS Care or Medical Expense Deduction (MED) programs. Click here for more information.
Benefit Changes for Adults-Effective October 1, 2010
Due to Arizona's huge budget problems and more people being added to the Medicaid Program, after 10/1/2010, UnitedHealthcare Community Plan under the direction of the AHCCCS Administration, will no longer pay for certain medical care for anyone who is 21 years old or older.
Click here, for more information. (PDF 48.81 KB)
Notice of Privacy Practices
We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it. You can download a copy of our Notice of Privacy Practices below.
NOTICE OF PRIVACY PRACTICES (PDF 100.23 KB)
Prior Authorization Criteria
Click here for more information (PDF 82.08 KB)
Social Security Number Privacy
Protecting personal information is important to UnitedHealth Group companies, so we protect the confidentiality of Social Security numbers that we receive. Read Bulletin Details.
Click here, for more information. (PDF 25.12 KB)
Take Charge of Your Health: Get a Flu Shot
Flu season is here. The flu can be very serious. Getting a flu vaccine is your best protection against the flu. The best time to get your flu shot is October through December. You should talk to your doctor about having a flu shot. Or you can call our Customer Service Center.
Annual Enrollment Period: November 15th to December 31st each year
During this Annual Enrollment Period, you have the opportunity to switch plans. Take the opportunity to compare the benefits, costs, and restrictions of the plans available in your area and choose the plan that is best for you. If you are satisfied with your current plan, you do not need to take any action.
For more information click here. (PDF 52.08 KB)
Citizenship Documents Required
There are new laws that may require you to show proof of citizenship in order to renew your health coverage. Click on a document below to read about what you will need:
Summer 2016 Issue (English) (PDF 756.47 KB)
Spring 2008 Issue (PDF 1.11 MB)
If you have questions or concerns about your medical care, you should talk about them with your PCP or the provider that is treating you first. If you are not happy about UnitedHealthcare Community Plan, your doctor, or any part of your health care, you can file a grievance (complaint). You can call UnitedHealthcare Community Plan Member Services to file a grievance over the phone or you can send your grievance in writing. Call 1-800-348-4058 for UnitedHealthcare Community Plan. For more information, refer to your Member Handbook.
If UnitedHealthcare Community Plan has denied a service that you think you should receive, you can file an appeal. The appeal can be written or verbal. If you want to file a verbal appeal, call Member Services. Call 1-800-348-4058 for UnitedHealthcare Community Plan. The appeal can be written or verbal. Call UnitedHealthcare Community Plan Member Services at 1-800-348-4058 to file a verbal appeal. For more information, refer to your Member Handbook.