- Provider Information
- Billing and Reference Guides
- Claims and Member Information
- Claim Reconsideration and Appeals
- Clinical Practice Guidelines
- Cultural Competency Library
- Dual Complete (HMO-SNP) Program
- Electronic Data Interchange (EDI)
- Healthy Michigan Plan Health Risk Assessment (HRA)
- Pharmacy Program
- Provider Administrative Manual
- Provider Forms
- Reimbursement Policy
Dual Complete (HMO-SNP) Program
Effective Jan. 1, 2018, UnitedHealthcare Community Plan of Michigan will begin to serve eligible members in a new Dual Special Needs Plan (DSNP) – UnitedHealthcare Dual Complete Medicare Advantage ‒ in the following counties: Berrien, Branch, Gratiot, Hillsdale, Tuscola and Washtenaw.
This is a Medicare Advantage plan for members who qualify for both Medicare and Medicaid. DSNPs are a specialized type of Medicare Advantage Prescription Drug Plan (MAPD) and must follow existing Centers for Medicare & Medicaid Services (CMS) rules. DSNPs must:
Adhere to required MAPD benefits
Limit enrollment to Medicaid recipients (dually eligible – Medicare and Medicaid),
Provide Part D benefits, and
Offer targeted clinical programs, benefits, and services.
This web page is dedicated to information specific to the Dual Complete Medicare Advantage program. Look here for provider resources including the Administrative Guide, quick reference guide, provider directory, policies and news related to the Dual Compete Medicare Advantage program.
UHC On Air (PDF 263.27 KB)
Dual Complete Medicare Advantage Quick Reference Guide (PDF 337.76 KB)
Dual Complete Medicare Advantage Frequently Asked Questions (PDF 76.89 KB)
Understanding Michigan Dual Complete Medicare Advantage
(PDF 305.03 KB)
Coverage Summaries and Reimbursement Policies
Link and UHCProvider.com
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