- Provider Information
- Billing and Reference Guides
- Claim Reconsideration and Appeals
- Claims and Member Information
- Clinical Practice Guidelines
- Cultural Competency Library
- Electronic Data Interchange (EDI)
- Pharmacy Program
- Provider Administrative Manual
- Provider Forms
- Reimbursement Policy
Clinical Practice Guidelines
UnitedHealthcare Community Plan has compiled a list of evidence-based clinical guidelines, and the websites where they can be found, for our quality and health management programs.
We respect the expertise of the physicians and other health care professionals in our network and appreciate your help as we work together to offer our members better quality, better health outcomes and better cost.
If you have questions, please contact your Physician Advocate or call the number on the back of the member’s ID card.
View the Clinical Practice Guidelines (PDF 134.51 KB).
Provider Advisory Committee Approval - June 21, 2017
AZ Department of Health Services
CRS Behavioral Health Residential Facility, without Room and Board, Child and Adult Practice Guideline - Effective 01.01.2017 (PDF 80.38 KB)
This guideline outlines the management and best practices using treatment of Home Care Training to Home Care Client (HCTC), also known as Therapeutic Foster Home, which adheres to the Arizona Vision Twelve Principles for children up to age 18 and to the nine Guiding Principles for Recovery Oriented Adult Behavioral Health Services and System for individuals 18 and over.
CRS Behavioral Health HCTC Practice Guidelines - Updated 08.04.2017 (PDF 117.96 KB)
UnitedHealthcare Community Plan Community Plan guideline outlines the management of Behavioral Health Residential Treatment which adheres to Arizona Vision Twelve Principles for children up to the age of 18 and Principles for Recovery Oriented Adult Behavioral Health Services and Systems.