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Provider Administrative Guide

The chapters of our Provider Administrative Guide that have been approved by the State of Kansas are posted here. The State has approved the final content of these chapters.

Quick Reference Guide for the UnitedHealthcare Administrative Guides (PDF 112.23 KB)

 

Chapter 1 - Corporate Overview (PDF 260.57 KB)

Chapter 2 - Quick Reference Guide (PDF 287.95 KB)

Chapter 3 - Member Benefits (PDF 448.72 KB)

Chapter 4 - Medical Management (PDF 778.02 KB)

Chapter 5 - Member Grievances and Appeals (PDF 310.06 KB)

Chapter 6 - Behavioral Services (PDF 427.44 KB)

Chapter 7 - Quality Management (PDF 306.53 KB)

Chapter 8 - Hospital Services (PDF 431.86 KB)

Chapter 9 - Dental (PDF 3.69 MB)

Chapter 10 - Durable Medical Equipment (DME) (PDF 172.05 KB)

Chapter 11 - Hospice (PDF 242.63 KB)

Chapter 13 - Long Term Care (PDF 446.19 KB)

Chapter 14 - Rehabilitative Therapy (PDF 245.52 KB)

Chapter 15 - Claims (PDF 390.16 KB)

Chapter 16 - Physician and Facility Standards and Policies (PDF 1.12 MB)

Chapter 17 - Physician Communications and Outreach (PDF 378.92 KB)

Chapter 18 - Frequently Asked Questions (PDF 632.34 KB)

Chapter 19 - Glossary and Index of Terms (PDF 235.97 KB)

Chapter 20 - Appendix (PDF 2.44 MB)

 

Non-Emergency Medical Transportation

Provider Manual for Non-Emergency Medical Transportation (PDF 4.9 MB)

Pharmacy 

Pharmacy Provider Manual

Vision

Provider Manual for Vision (PDF 828.95 KB)

Vision Benefit Information (PDF 121.44 KB)