UnitedHealthcare Community Plan is an Arizona Medicaid health plan serving AHCCCS, KidsCare, Developmentally Disabled (DD) and Children's Rehabilitative services (CRS) members. We have nearly 30 years of experience serving families throughout Arizona.
We serve AHCCCS and KidsCare members in La Paz, Maricopa, Pima and Yuma counties and offer a Medicare/Medicaid Dual Special Needs Plan in all counties except Gila.
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.
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 1-877-653-7573 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)
Emergency Dental Benefit (PDF 56.53 KB)
Dental Benefits for Developmentally Disabled (DD) Members Who Are 21 Years of Age and Older (PDF 410.51 KB)
Podiatry Benefit Change Notice (PDF 87.55 KB) (English and Espanol)
Appointment Guidelines: English (PDF 167.05 KB) | Espanol (PDF 178.1 KB)
Orthotics Benefit Notice (PDF 35.22 KB)
Better Member Call Experience Begins August 2015 (PDF 85.74 KB)
New Outpatient Physical Therapy Benefit for Adult AHCCCS Members Beginning March 1, 2014 (PDF 84.26 KB)
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.
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.
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.
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.
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)
Personal Health Record
The Personal Health Record tool is no longer available. If you need assistance understanding your medical history, laboratory tests or prescribed medication, please contact your Personal Care Physician or Member Services at (800) 348-4058.
Prior Authorization Criteria
Click here for more information (PDF 82.08 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 166.68 KB)
Seasonal Flu Facts
Questions and answers regarding the seasonal flu vaccine.
Click here, for more information. (PDF 103.03 KB)
Quick Facts About H1N1
AmeriChoice wants to help you understand some important facts about the novel H1N1 Flu so you can help protect you and your family.
Click here, for more information. (PDF 99.89 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.