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
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
Behavioral Health: 877-614-0484
Logisticare (non-emergent, medically necessary)
Ride Assistance: 866-913-2493
Recurring Appointments: 866-400-8233
United Dental Benefits
Phone: 844-706-2724 (providers only)
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.
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
Search for a care provider by plan name:
- UnitedHealthcare Community Plan - New Mexico Centennial Care
- UnitedHealthcare Dual Complete® (HMO-POS SNP)
- UnitedHealthcare Dual Complete® (PPO SNP) H2228-042
- UnitedHealthcare Dual Complete® (PPO SNP) H2228-046
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.
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Current News, Bulletins and Alerts
HEDIS Medical Record Collection
- HEDIS® Medical Record Collection - Frequently Asked Questions
- HEDIS® Medical Record Collection - Overview
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.