- Provider Information
- Claims and Member Information
- Claim Reconsideration and Appeals
- Clinical Practice Guidelines
- Cultural Competency Library
- Dual Complete (HMO SNP) Program
- Electronic Data Interchange (EDI)
- Pharmacy Program
- Provider Administrative Manual
- Provider Forms
- Reimbursement Policy
Welcome to the UnitedHealthcare Community Plan Health Professionals area for Mississippi providers.
Here you will find the information, forms, manuals and links you need to conduct business with UnitedHealthcare Community Plan.
Please choose your topic of interest, by selecting one of the navigation buttons on the left-hand side of the page, or select one of the topics or products below to reveal our Contact Information, Prior Authorizations, Coverage Guidelines, Policies and more.
Optum would like to cordially invite you, your clinical and administrative staff, to attend a Provider Orientation for the MississippiCAN Autism Spectrum Disorder Services Program. We will hold a telephonic Provider Orientation that will address a host of topics that will benefit you as you provide services and work within the Optum MS CAN Autism Network. Our telephonic Provider Orientation is scheduled for November 9th at 2:00 EST. You can attend by calling into our conference line at 1-763-957-6400, Meeting ID# 828 814 373.
You may find related materials in advance of this meeting at the following location:
After the orientation, please feel free to contact your Network Manager, Deborah Sills, at Deborah.Sills@optum.com.
Postal Mailing Address:
795 Woodlands Parkway
Ridgeland, MS 39157
Claims Mailing Address:
P.O. Box 5032
Kingston, NY 12402-5032
Click on the arrow to view Prior Authorization requirements.
UnitedHealthcare Community Plan - CAN
UnitedHealthcare Community Plan Prior Authorization MS CAN - Effective 7/1/2018 (PDF 196.82 KB)
UnitedHealthcare Community Plan - CHIP
UnitedHealthcare Community Plan Prior Authorization MS CHIP - Effective 7/1/2018 (PDF 211.45 KB)
UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan
Medicaid Managed Care Rule External FAQs (PDF 64.57 KB)
Medicaid Managed Care Rule Presentation (PDF 90.71 KB)
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.