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Provider Call Center

8 a.m. – 5 p.m. CST (except State designated holidays)

Provider Relations Team



Network Management Team


Postal Mailing Address

UnitedHealthcare Community Plan of Missouri
13655 Riverport Drive
Maryland Heights, MO 63043

Claims Mailing Address

UnitedHealthcare Community Plan
PO Box 5240
Kingston, NY 12402-5240

Appeals Address   

UnitedHealthcare Community Plan of Missouri
Attention:Provider Dispute
P.O. Box 31364
Salt Lake City, Utah 84131-0364

Additional Information

Optum Behavioral Health

UnitedHealthcare Dental

Member Transportation
Medical Transportation Management

March Vision Care

Report Health Care Fraud, Waste and Abuse:
844-359-7736 or uhc.com/fraud


Provider Medicaid Enrollment 

Effective January 1, 2018, all providers servicing Missouri Medicaid members must be enrolled with Missouri HealthNet. Use the application form below that best applies to your situation.

Individual Provider Enrollment
Missouri HealthNet Individual Providers Application 

Organizational Provider Enrollment
Missouri HealthNet Large Provider Organization Application

Medicaid Managed Care Rule External Frequently Asked Questions
(PDF 64.57 KB)
Medicaid Managed Care Rule Presentation
(PDF 90.71 KB)


Prior Authorization

To request prior authorization for Pediatric Care Network (PCN) members, contact PCN at 1-877-347-9367. 

Prior Authorization Fax Request Form (PDF 72.36 KB)

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan

UnitedHealthcare Medicare Plan Prior Authorization Requirements - Effective 4/1/2018 (PDF 293.21 KB)

UnitedHealthcare Community Plan

UnitedHealthcare Community Plan Prior Authorization MO - Effective 4/1/2018 (PDF 138.08 KB)



Issue Log

The Provider Issue Log is updated on a weekly basis and provides the status, resolution and timing of global issues impacting multiple providers.

View Current Provider Issue Log (PDF 119.12 KB)


Pediatric Care Network (PCN)

Pediatric Care Network will provide delegated medical management services for UHC Community Plan Pediatric Care Network members including case management, utilization management and disease management.Resources are available for providers including reference guides, office forms, frequently asked questions and more.

View Pediatric Care Network Provider Resources



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.這些政策與準則僅供參考,不構成醫療建議。
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


UnitedHealth Group 要求遵守聯邦法與州法的規定,禁止提交與包括 Medicare 與 Medicaid 等聯邦醫療保健計劃相關的不實索賠。


If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail.欲查看更新後的政策變更,請選擇左方的公告欄部份。