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Medicaid Managed Care Rule External FAQ’s (PDF 64.57 KB)

Medicaid Managed Care Rule Presentation (PDF 90.71 KB)

Provider Call Center

8 a.m. – 5 p.m. CST (except State designated holidays)

Provider Relations Team



Network Management Team


Postal Mailing Address

UnitedHealthcare Community Plan of Missouri
13655 Riverport Drive
Maryland Heights, MO 63043

Claims Mailing Address

UnitedHealthcare Community Plan
PO Box 5240
Kingston, NY 12402-5240

Appeals Address   

UnitedHealthcare Community Plan of Missouri
Attention: Provider Dispute
P.O. Box 31364
Salt Lake City, Utah 84131-0364

Additional Information

Behavioral Health
Optum Behavioral Health

Dental Care
UnitedHealthcare Dental

Member Transportation
Medical Transportation Management

Vision Care
March Vision Care

Report Health Care Fraud, Waste and Abuse:
844-359-7736 or uhc.com/fraud


Prior Authorization

To request prior authorization for Pediatric Care Network (PCN) members, contact PCN at 1-877-347-9367. 

UnitedHealthcare Medicare Prior Authorization Requirements Effective 1/1/2018 (PDF 282.37 KB)

Prior Authorization Fax Request Form (PDF 238.66 KB)

UnitedHealthcare Community Plan Prior Authorization MO - Effective 1/1/2018 (PDF 165.09 KB)


Issue Log

The Provider Issue Log is updated on a weekly basis and provides the status, resolution and timing of global issues impacting multiple providers.

View Current Provider Issue Log (PDF 117.67 KB)


Pediatric Care Network (PCN)

Pediatric Care Network will provide delegated medical management services for UHC Community Plan Pediatric Care Network members including case management, utilization management and disease management. Resources are available for providers including reference guides, office forms, frequently asked questions and more. View Pediatric Care Network Provider Resources.



UnitedHealthcare Community Plan Medical & Drug Policies and Coverage Determination Guidelines

UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies and Coverage Determination Guidelines to assist us in administering health benefits. These policies and guidelines are provided for informational purposes, and do not constitute medical advice.
View the guidelines

UnitedHealthcare Medicare Advantage Coverage Summaries

For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage Coverage Summaries Manual and corresponding policy update bulletins here

Integrity of Claims, Reports, and Representations to the Government

UnitedHealth Group requires compliance with the requirements of federal and state laws that prohibit the submission of false claims in connection with federal health care programs, including Medicare and Medicaid. 
View our policy (PDF 38.15 KB).


If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. To see updated policy changes, select the Bulletin section at left.