On Jan. 1, 2019, UnitedHealthcare will begin serving eligible members in a Dual Special Needs Plan (DSNP) – UnitedHealthcare Dual Complete,® a Medicare Advantage plan – in almost 250 new counties across the United States. This expansion includes two states new to the Dual Complete offering — Maryland and Kentucky — new to the Dual Complete offering and 16 states that will be expanding coverage by entering new service areas. 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.
Here’s a list of these states and counties launching the plan on Jan. 1, 2019:
New State: Kentucky – Boone, Bullitt, Campbell, Fayette, Franklin, Hardin, Jefferson, Jessamine, Kenton, Larue, Madison, Marion, Nelson, Oldham, Shelby, Spencer and Woodford
New State: Maryland – Montgomery
Colorado – Larimer
Delaware – Kent and Sussex
Iowa – Appanoose, Benton, Black Hawk, Boone, Bremer, Buchanan, Butler, Carroll, Cedar, Chickasaw, Clarke, Clayton, Clinton, Davis, Delaware, Des Moines, Fayette, Floyd, Greene, Grundy, Guthrie, Hamilton, Hardin, Henry, Iowa, Jackson, Jefferson, Johnson, Jones, Keokuk, Linn, Louisa, Lucas, Mahaska, Marion, Mills, Monroe, Muscatine, Pottawattamie, Poweshiek, Scott, Tama, Van Buren, Wapello, Washington, Wayne and Webster
Louisiana – Acadia, Assumption, Bienville, Bossier, Caddo, Claiborne, De Soto, Evangeline, Iberia, Lafayette, Ouachita, Pointe Coupee, Rapides, Red River, St. Landry, St. Mary, Vermilion, Webster and West Feliciana
Michigan – Allegan, Barry, Bay, Calhoun, Kalamazoo, Kent, Mecosta, Montcalm, Newaygo, Ottawa, Saginaw, Sanilac, St. Joseph and Van Buren
Mississippi – George, Holmes, Lawrence, Marion, Quitman, Scott, Simpson, Smith, Stone and Yazoo
Missouri – Andrew, Audrain, Barry, Barton, Bates, Caldwell, Camden, Carroll, Clinton, Cooper, Howard, Iron, Madison, Maries, McDonald, Moniteau, Monroe, Montgomery, Pike, St. Clair and Vernon
Nebraska – Adams, Buffalo, Burt, Dodge, Gage, Hall, Madison, Otoe, Saline, Saunders, Seward and Washington
New Mexico – Chaves, Colfax, Curry, Quay and Torrance
New York – Allegany, Cattaraugus, Cayuga, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Essex, Genesee, Greene, Hamilton, Herkimer, Lewis, Livingston, Madison, Montgomery, Ontario, Orleans, Oswego, Putnam, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, Sullivan, Warren, Washington, Wayne, Wyoming and Yates
Ohio – Knox, Richland, Ross, Scioto and Washington
Oklahoma – Adair, Cherokee, Craig, Creek, Delaware, Grady, Muskogee, Osage, Seminole, Sequoyah, Tulsa and Wagoner
Pennsylvania – Cumberland, Forest, Franklin, Huntingdon, Jefferson, Juniata, Monroe, Perry, Snyder, Susquehanna, Venango and Wyoming
Texas – Anderson, Bandera, Cherokee, Clay, Cooke, Delta, Ector, Falls, Fannin, Hill, Hopkins, Howard, Hunt, Matagorda, Medina, Midland, Montague, Rains, Red River, Starr, Tom Green, Wharton, Wise and Zavala
Washington – Benton, Walla Walla and Whatcom
Wisconsin - Clark, Door, Iron, Juneau and Lafayette
The UnitedHealthcare Dual Complete Program will reimburse claims according to your UnitedHealthcare contractual Medicare Advantage payment appendix. Visit UHCprovider.com for additional information on the Dual Complete Plan.
To find out more about our programs, visit UHCprovider.com > Menu > Resource Library > UnitedHealthcare Enterprise Medical Records Program. To get started, visit Link on UHCprovider.com and choose the Remote EMR Access tool. You can also ask your Provider Advocate for additional assistance.