Welcome to the Home for Care Provider Resources

For UnitedHealthcare Community Plan of New Mexico


For UnitedHealthcare Community Plan of New Mexico

UnitedHealthcare Community Plan of New Mexico 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.”

UnitedHealthcare Dual Complete® Special Needs Plan

UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. Members must have Medicaid to enroll.

Prior Authorization and Notification Resources

Current Policies and Clinical Guidelines

Provider Administrative Manual and Guides

Provider Call Center


Contact Information

Medical, Behavioral Health and Long-Term Care Services Customer Call Center
Available 8:00 am - 5:00 pm, Monday through Friday
Customer Call Center: 877-236-0826
Customer Call Center TTY: 711  

Medical: 888-702-2202
Behavioral Health: 877-614-0484

Optum RX
Phone: 800-310-6826
Fax: 866-940-7328

Logisticare (non-emergent, medically necessary)
Reservations: 866-913-2492
Ride Assistance: 866-913-2493
Recurring Appointments: 866-400-8233
TTY: 866-288-3133

United Dental Benefits
Phone 877-408-0159

March Vision
Phone: 844-706-2724 (providers only) 

Contact Addresses

Main Office Address

220 San Pedro NE, Suite 300
Albuquerque, NM 87113

Electronic Claim Submission

Payer ID Number 87726

Paper Claim Submission

Centennial Care Plan
United Healthcare Community Plan
P.O. Box 31365
Salt Lake City, UT 84131-0350

UnitedHealthcare Dual Complete Plan
UnitedHealthcare Community Plan
P.O. Box 31345
Salt Lake City, UT 84131-0348

Behavioral Health for UnitedHealthcare Dual Complete Plan
Optum Behavioral Services
P.O. Box 30757
Salt Lake City, UT 84130-0757

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

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.

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

The state-specific requirements and process on how to join the UnitedHealthcare Community Plan network is found in the UnitedHealthcare Community Plan Care Provider Manuals.  

Learn about requirements for joining our network


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/NM for current member plan information including sample member ID cards, provider directories, dental plans, vision plans and more.

Plan information is available for:

  • New Mexico Centennial Care

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

Provider Directories

Search for a care provider by plan name:

Search for a dentist by plan name:

Reporting Fraud, Waste or Abuse to Us

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, we will work to detect, correct and prevent fraud, waste, and abuse in the health care system.

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

Current News, Bulletins and Alerts

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.


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.