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To access UHC On Air:
- Sign in to UnitedHealthcareOnline.com using your Optum ID.
- Click on the UHC On Air app on your Link dashboard.
- Select the UHC News Now channel on UHC On Air, then select one of the DSNP programs to view.
- 제공자 정보
- Appeals, Grievances and State Fair Hearings Information
- 청구 및 가입자 정보
- 청구 재조정 및 이의 제기
- 임상 시험 지침
- Cultural Competency Library
- Dual Complete (HMO-POS SNP) Program
- Electronic Data Interchange (EDI)
- 약국 프로그램
- Provider Admin Guides
- Provider Forms
- 보상 정책
- Value Added Benefits for Members
UnitedHealthcare Community Plan of Kansas
We insure more pregnant moms, more children, and more aged, blind and persons with disabilities than anyone else. No one has a larger list of doctors and hospitals. We're a leader in working with community organizations to help the uninsured become insured, and the insured to get the best medical care possible. We're a leader in the effort to understand the social and cultural causes of disease. UnitedHealthcare has been in your community for years. We look forward to partnering with you.
Medicaid Managed Care Rule External FAQs (PDF 64.57 KB)
Medicaid Managed Care Rule Presentation (PDF 90.71 KB)
UnitedHealthcare Community Plan Added to Electronic Payments & Statements (PDF 59.89 KB)
UnitedHealthcare's provider support teams are available to assist Kansas Providers.
View the UnitedHealthcare Community Plan Contact List (PDF 81.3 KB)
Provider Advocate Contact Information
Provider / Hospital Advocate Team Contact Information (PDF 535.92 KB)
Skilled Nursing Facilities Provider Advocate Map (PDF 107.51 KB)
The Provider Issue Log is updated on a weekly basis and provides the status, resolution and timing of global issues impacting multiple providers.
Access the current Provider Issue Log (issues posted since 2015)
Eastern Kansas Provider Directory (PDF 3.04 MB) - posted 3.22.2018
Nothern Kansas Provider Directory (PDF 2.49 MB) - posted 3.22.2018
Southern Kansas Provider Directory (PDF 3.27 MB) - posted 3.22.2018
Western Kansas Provider Directory (PDF 1.99 MB) - posted 3.22.2018
Home and Community Based Service (HCBS) Provider Directory (PDF 3.25 MB) - posted 3.22.2018
UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan
UnitedHealthcare Medicare Prior Authorization Requirements - Effective 4/1/2018 (PDF 293.21 KB)
UnitedHealthcare 커뮤니티 플랜
UnitedHealthcare Community Plan Prior Authorization KS - Effective 4/1/2018 (PDF 208.25 KB)
Click on the arrow above to view the prior authorization archive.
의료 혜택으로 보장되는 전문 약국 의약품은 가정 투여 제공자, 외래 시설, 의사, 전문 약국 등 다양한 채널을 통해 제공될 수 있습니다.
Click on the arrow above to view informaiton about medical injectables.
Specialty pharmacy medications covered under the member’s medical benefit may be obtained through various sources ‒ home infusion providers, outpatient facilities, physicians or specialty pharmacy.
If you don’t want to buy and bill a specialty pharmacy medication covered under the member’s medical benefit, you may order it through the following network specialty pharmacy:
전문 약국 네트워크
The following specialty pharmacies also provide certain types of specialty medications:
전문 약국 네트워크
Accredo (nursing services)
Option Care (nursing services)
CVS Caremark 전문 약국
Coverage of a requested medication depends on the member’s benefit, and availability of a specific drug from a network specialty pharmacy may vary.
Upon request, a specialty pharmacy can deliver the medication to your office or another site such as a member’s home.
Medications obtained through a specialty pharmacy will be directly billed to the patient’s health plan.
Provider Notice Archives
DME Notice for Pharmacies (PDF 90.14 KB)
Disclosure Forms are required for all contracted providers. If you are already a network provider and have not submitted your completed disclosure form, please email the form to email@example.com.
Medicaid Provider Assistance
Kansas Department of Health and Environment's Division of Health Care Finance and the Kansas Foundation for Medical Care (KFMC) are working together to assist Medicaid providers in Kansas with implementing health information technology and the Medicaid EHR Incentive Program (Meaningful Use). The documents available at the links below describe the services offered and eligibility criteria.
Medicaid Meaningful Use Incentives (PDF 134.14 KB)
Technical Assistance with Health Information Technology (PDF 453.42 KB)
The HPV Home site is the CDC website for the public and health care professionals. Healthcare professional information includes:
• CME opportunities
• Fact Sheets and schedules
• Tools and materials for your office
• Information to provide to parents (English/Spanish)
• Recommendations for leading the conversation about HPV
HPV for Clinicians CE
The HPV Clinicians for CE link is a CDC website with free, credit courses on HPV infection, cancers and vaccinations. The courses include guidance on how to have an effective conversation with parents about HPV vaccinations.
You Are The Key to Cancer Prevention! Vacinate! http://www.kansasaap.org/wordpress/chapter/kaap-webinars/hpv-webinar/
You Are the Key to Cancer Prevention! Vacinate! is presented as a web-on-demand video with pre-test and post-test.
The Kansas Chapter, American Academy of Pediatrics is accredited by the Kansas Medical Society to provide continuing medical education for physicians.
The Kansas Chapter, American Academy of Pediatrics designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
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. 이러한 정책과 지침은 정보 제공을 목적으로 제공되는 것으로, 의학적인 조언은 아닙니다.
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.
정부에 대한 청구, 보고 및 진술의 무결성
UnitedHealth Group은 메디케어와 메디케이드를 비롯한 연방 건강 보험 프로그램과 관련하여 허위 청구의 제출을 금지하는 연방 법률과 주 법률의 요건을 준수해야 합니다.
View our policy (PDF 38.15 KB).
사전 고지 사항
If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. 업데이트된 정책 변경 사항을 확인하려면 왼쪽에서 게시판 섹션을 선택하십시오.