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For UnitedHealthcare Community Plan of Mississippi

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For UnitedHealthcare Community Plan of Mississippi

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UnitedHealthcare Community Plan of Mississippi Homepage

We know you don't have time to spare, so we put all the UnitedHealthcare Community Plan resources you need in one place. Use the navigation on the left to quickly find what you're looking for. Be sure to check back frequently for updates.

For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210.

Contact Us

Contract, Demographic, and Network Related Issues: 800-557-9933

Claims or Service Related Questions: 800-557-9933

Provider Customer Service Hours of Operation: 8:00 am - 6:00 pm CST

Postal Mailing Address

UnitedHealthcare
795 Woodlands Parkway, Suite 301
Ridgeland, MS  39157

Claims Mailing Address

UnitedHealthcare
P.O. Box 5032
Kingston, NY  12402-5032

Facility/Hospital-Based Providers, Group/Practice Providers and Individually-Contracted Clinicians

Learn about requirements for joining our network.

Behavioral Health Providers

Learn how to join the Behavioral Health Network, review Community Plan Behavioral Health information, or submit demographic changes at Community Plan Behavioral Health.

Overview

The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to:

  • Promote quality of care
  • Strengthen efforts to reform the delivery of care to individuals covered under Medicaid and Children’s Health Insurance Plans (CHIP)
  • Strengthen program integrity by improving accountability and transparency

Enhance policies related to program integrity With the Medicaid Managed Care Rule, CMS updated the type of information managed care organizations are required to include in their care provider directories.

Helpful Resources

Visit UHCCommunityPlan.com/MS for current member plan information including sample member ID cards, provider directories, dental plans, vision plans and more.

Member plan and benefit information can also be found at UHCCommunityPlan.com/MS and myuhc.com.

When you report a situation that could be considered fraud, you’re doing your part to help save money for the health care system and prevent personal loss for others. If you suspect another provider or member has committed fraud, waste or abuse, you have a responsibility and a right to report it. 

Taking action and making a report is an important first step. After your report is made, UnitedHealthcare works to detect, correct and prevent fraud , waste  and abuse  in the health care system.

Call us at 1-844-359-7736 or at uhc.com/fraud to report any issues or concerns. 

Current News, Bulletins and Alerts

Transportation Vendor Change - UnitedHealthcare Community Plan of Mississippi

Last Modified | 07.12.2019

Starting Aug. 1, 2019, MTM will be the transportation benefit provider for all UnitedHealthcare Community Plan of Mississippi members.

Learn More
Update to MSCAN Enhanced PCP Reimbursement Effective July 1, 2019 for UnitedHealthcare Community Plan of Mississippi

Last Modified | 07.02.2019

Update to MSCAN Enhanced PCP Reimbursement Effective July 1, 2019

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Practice Matters Spring/Summer 2019 - UnitedHealthcare Community Plan of Mississippi

Last Modified | 06.25.2019

In this issue, you can read about support for language services, PreCheck MyScript, access and availability standards, and more.

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Update to Procedure to Modifier Policy for “Always Therapy” Codes – Effective July 1, 2019 for UnitedHealhcare Community Plan of CA, HI, FL, LA, MD, MA, MI, MS, NE, NJ, NY, OH, PA, RI, WA, WI, VA

Last Modified | 06.24.2019

UnitedHealthcare Community Plan is updating its Procedure to Modifier Policy for claims for dates of service on or after July 1, 2019. Physical therapy (GP), occupational therapy (GO) or speech-language pathology (GN) modifiers will be required on “Always Therapy” codes to align with the Centers for Medicare & Medicaid Services (CMS).

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Update Emergency Department Facility Coding Reimbursement Policy effective July 1, 2019

Last Modified | 05.31.2019

To help reinforce accurate coding practices, we’re updating our Emergency Department (ED) Facility Evaluation and Management (E/M) Coding Reimbursement starting July 1, 2019.

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HEDIS Medical Record Collection

Health Insurance Portability and Accountability Act (HIPAA) Information

HIPAA standardized both medical and non-medical codes across the health care industry and under this federal regulation, local medical service codes must now be replaced with the appropriate Healthcare Common Procedure Coding System (HCPCS) and CPT-4 codes. View our updated HIPAA information for UnitedHealthcare Community Plan.

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.

Disclaimer

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.