Use the documents below to learn more about each important health topic.
UnitedHealthcare OMWTM (UnitedHealthcare On My Way) is an interactive website that helps you get ready for real life. It’s easy and fun, and has important information all on one secure site.
Download the brochure to find out more about (PDF 595.87 KB):
Money: Set up a budget and learn about taxes.
Housing: Understand and compare housing options.
Work: Create a resume and learn interview tips.
Healthcare fraud, waste and abuse affects everyone. Combating it begins with awareness.Fraud is committed when a dishonest provider or consumer intentionally submits, or causes someone else to submit, false or misleading information for use in determining the amount of health care benefits. Waste is the over-utilization of services not caused by criminally negligent actions and the misuse of resources. Abuse is provider practices that are inconsistent with professional standards of care: medical necessity, or sound fiscal, business, or medical practices and provider or beneficiary practices that result in unnecessary costs to the healthcare program.
What is provider fraud, waste and abuse?
- Billing for services not rendered
- Upcoding (billing for more expensive services or procedures than were actually provided or performed)
- Soliciting, offering or receiving kickbacks
- Improper or sloppy billing practices
- Failure to maintain adequate records
- Routine waiver of coinsurance and deductible
What is member fraud, waste and abuse?
- Loaning or using another person's insurance card
- Forging or selling prescription drugs
- Providing false information when applying for program benefits
UnitedHealthcare Community Plan is committed to combating fraud, waste and abuse. If you suspect health care fraud, waste and abuse, you may report via the following methods:
- Anonymous fraud, waste and abuse hotline: 1.877.766.3844
American Academy of Pediatrics and The American College of Obstetricians and Gynecologists, Sixth Edition, Guidelines for Perinatal Care
Click Here (PDF 394.85 KB)
Preventive Pediatric Health Care Screening
2009 Recommendations for Preventive Pediatric Health Care screening guidelines (periodicity schedule) from the American Academy of Pediatrics
Preventive Services Guideline
2010-2011 Guide to Clinical Preventive Services – US Preventive Services Task Force (USPSTF)
For a description of the UnitedHealthcare practice guidelines, please write to:
UnitedHealthcare Community Plan Quality Improvement
9200 Worthington Road, 3rd Floor
Westerville, Ohio 43082
ADHD Newsletter (PDF 26.62 KB)
Asthma Action Plan (PDF 172.95 KB)
Coronary Artery Disease Health Log (PDF 178.51 KB)
COPD Action Plan (PDF 164.76 KB)
Diabetes Health Log (PDF 242.77 KB)
Heart Failure Health Log (PDF 241 KB)
Lead Poisoning (PDF 142.79 KB)
Taking Charge of Your Ashthma (PDF 496.51 KB)
Taking Charge of Your COPD (PDF 455.12 KB)
Taking Charge of Your Depression (PDF 254.15 KB)
Taking Charge of Your Diabetes (PDF 1.93 MB)
Taking Charge of Your Heart Disease (PDF 432.1 KB)
Taking Charge of Your Heart Failure (PDF 517.98 KB)