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To learn more about the Dual Special Needs Plan (DSNP), please contact your Provider Advocate or view our DSNP programs on UHC On Air. 

To access UHC On Air:

  1. Sign in to UnitedHealthcareOnline.com using your Optum ID.
  2. Click on the UHC On Air app on your Link dashboard.
  3. Select the UHC News Now channel on UHC On Air, then select one of the DSNP programs to view.
Please select the state where you practice.
UnitedHealthcare Community Plan Kansas Providers

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.

UnitedHealthcare Community Plan Added to Electronic Payments & Statements (PDF 59.89 KB)

Provider Advocate Contact Information

Providers may click here (PDF 118.09 KB) to access the HCBS Provider Advocate Territory Map to identify the Provider Advocate in your area.

United IDD Provider Billing Guidelines
Click here (PDF 129.58 KB) for the current guidelines.
Click here (PDF 196.56 KB) for Atypical Provider Billing Bulletin.

Billing Issues Related to NPI Number
Providers who are experiencing claim issues related to NPI number may click here (PDF 105.34 KB) for suggested steps to follow to help identify and correct the provider NPI issue.

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


Contact Us

UnitedHealthcare's provider support teams are available to assist Kansas Providers./p>

Call Center Support

Provider Services Call Center  


Prior Authorization Call Center


UHCOnline Customer Service (website assistance)

866-842-3278 Option 2

Physical Health Providers

Network Team for contracting/credentialing           


Provider Advocate Team



Physical Health Provider Advocate Map (PDF 253.57 KB)


Behavioral Health/Substance Use Disorder Providers

Customer Care Professional Call Center


Provider Relations Lead Monica Meek


Fax authorizations or provider concerns


Sandra K Hashman-Evans, Executive Director

Sandra.hashman@optum.com; 913-333-4051

Nursing Facilities

Mona Hull, Provider Advocate Manager

Mona_hull@uhc.com; 612-642-7797

Michelle Cowen, Provider Advocate

michelle.cowen@optum.com; 913-323-1037

Nursing Facility Provider Advocate Map (PDF 77.83 KB)


Home and Community Based Service Providers


HCBS Provider Support Team Email


Krista Hayes, Associate Director

kristahayes@uhc.com; 913-333-4013

Cynthia Henderson, Manager

cynthia_henderson@uhc.com; 913-802-5635

Eric Rholes, Provider Advocate, Northeast Kansas

eric.rholes@uhc.com; 913-333-4028

Melissa Shumaker, Provider Advocate, Southeast

melissa_shumaker@uhc.com; 417-553-3145

Jessica Cook, Provider Advocate, Southcentral/Southwest

jessica_cook@uhc.com; 763-283-4479

Jennifer Crawford, Provider Advocate, Northcentral/Northwest

Jennifer_crawford@uhc.com; 952-406-4096

Home and Community Based Services Provider Advocate Map (PDF 118.09 KB)

Vision Providers

OptiCare Provider Support Center


Pharmacy Providers

OptumRx Help Desk – for pharmacy claim


OptumRx Network Management


Jennifer Murff, Kansas Pharmacy Manager

Jennifer.Murff@uhc.com; 913-333-4002

Dental Providers

Provider Services Call Center


Transportation Providers

LogistiCare Provider Support Line


Issues Log

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 (PDF 146.34 KB) (issues posted since 2015). 
Access the archive of past issues (PDF 679.43 KB) (issues posted from 2012 through 2014).


Find A Doctor 

Click here to access Find A Doctor, our online provider search tool.  

Access a pdf Provider Directory:  
     Eastern third of Kansas (PDF 2.29 MB) - posted 7.18.2017
     Middle third of Kansas (PDF 1.43 MB) - posted 7.18.2017
     Western third of Kansas (PDF 488.32 KB) - posted 7.18.2017
     Home and Community Based Service (HCBS) Provider Directory (PDF 472.78 KB) - posted 7.18.2017


UnitedHealthcare Medicare Solutions and UnitedHealthcare Community Plan-Medicare Notification/Prior Authorization Requirements - Effective 7/1/2017 (PDF 300.09 KB)

UnitedHealthcare Community Plan Prior Authorization KS - Effective 7/1/2017 (PDF 212.77 KB)

UnitedHealthcare Community Plan Prior Authorization KS - Effective 4/1/2017 (PDF 211.71 KB)

UnitedHealthcare Medicare Solutions and UnitedHealthcare Community Plan-Medicare Notification/Prior Authorization Requirements - Effective 5/1/2017 (PDF 299.55 KB)

UnitedHealthcare Medicare Solutions and UnitedHealthcare Community Plan-Medicare Notification/Prior Authorization Requirements - Effective 1/1/2017 (PDF 306.96 KB)

UnitedHealthcare Medicare Solutions and UnitedHealthcare Community Plan-Medicare Notification/Prior Authorization Requirements - Effective 4/1/2017 (PDF 300.79 KB)

UnitedHealthcare Community Plan Prior Authorization KS Effective 1/1/2017 (PDF 204.28 KB)

UnitedHealthcare Community Plan Prior Authorization KS Effective 10/1/2016 (PDF 212.19 KB)

UnitedHealthcare Community Plan Prior Authorization KS Effective 7/1/2016 (PDF 207.52 KB)

UnitedHealthcare Community Plan Prior Authorization - KS effective 5/1/2016 (PDF 197.52 KB)

UnitedHealthcare Community Plan Prior Authorization - KS effective 1/1/2016 with attachment (PDF 190.74 KB)

UnitedHealthcare Community Plan Prior Authorization - KS effective 1/1/2016 (PDF 197.61 KB)

Prior Authorization (PDF 205.33 KB) - Effective December 7, 2015

Provider Authorization list for Kansas effective June 1, 2015 (PDF 557.09 KB)

Provider Authorization list for Kansas (PDF 185.96 KB)


Medical Injectables

Specialty pharmacy medications covered on the Medical Benefit may be provided through a variety of channels – home infusion provider, outpatient facility, physician, or specialty pharmacy.

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 one of the following network specialty pharmacies:

Network Specialty Pharmacy

Phone Number



BioScrip (offers nursing services)

• also serves as a national home infusion provider for medical benefit medications


The following specialty pharmacies also provide certain types of specialty medications:

Network Specialty Pharmacy

Medication Category

Phone Number

Accredo (nursing services)

Enzyme Deficiency

Gaucher's Disease

Immune Globulin

Pulmonary Hypertension



Option Care (nursing services)

Cardiovascular/Heart Failure

Enzyme Deficiency

Gaucher's Disease


Immune Globulin



CVS Caremark Specialty Pharmacy

Pulmonary Hypertension


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.


Disclosure Forms

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 ks.disclosure.forms@uhc.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. The documents available at this link describe the services offered and eligibility criteria.

KDHEMU Notice Faxable (PDF 143.32 KB)

KDHEMU Notice For Stakeholder Newsletters (PDF 142.57 KB)


HPV Home


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. These policies and guidelines are provided for informational purposes, and do not constitute medical advice.
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

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 (PDF 38.15 KB).


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.