Unitedhealthcare community plan prior authorization phone number

It’s your health. It’s your choice.

Everyone deserves affordable health care, including you.

Working adults, people with disabilities, pregnant women, and children who qualify for Medicaid should check out UnitedHealthcare Community Plan. 

We have the Medicaid benefits and extras that can make a real difference in your life.

  • Find a doctor you trust in our network.
  • Behavioral health services
  • Transportation to and from doctor appointments
  • 24/7 NurseLine to answer your health questions.

Sometimes, you might need a little extra help. Get extras not covered by Medicaid.

  • Earn rewards for keeping you and your baby healthy
  • Talk to a doctor from home using Virtual Visits
  • We can help you connect to community services
  • The free United Healthcare mobile app allows you to access key information on the go

We also offer resources to help you make the most of your plan. Including:

  • Member advocates
  • Social Services support
  • Nutrition coaching
  • Health education tools
  • Care management

Visit www.azahcccs.gov for more information.

Helping you live a healthier life.

We are here for you, Arizona.

Remember to choose

UnitedHealthcare Community Plan.

And get the plan that gets you more.

To learn more about UnitedHealthcare Community Plan,

visit UHCCommunityPlan dot com forward slash AZ. 

UnitedHealthcare health plans are offered by United Healthcare Insurance Company. We (and other private insurance companies) work with federal and state agencies to provide government-sponsored health insurance. We are not part of Medicare. We work with the Centers for Medicare & Medicaid Services (CMS) and many state governments to provide health coverage for Medicare and Medicaid recipients.

Disenrollment from a Medicare Advantage (Part C) or Medicare prescription drug (Part D) plan may occur automatically if you:

  • Move your permanent residence out of the plan's service area (including incarceration).
  • Lose your entitlement to Medicare benefits under Part A and/or are no longer enrolled in Part B.
  • Fail to pay the monthly premium (if your plan has one) after your plan has made reasonable efforts to collect the unpaid premium.
  • Become deceased.
  • Knowingly misrepresent that you expect to receive reimbursement for covered Medicare prescription drug plan drugs through other third-party coverage.
  • Enroll in a different prescription drug plan. You will automatically be disenrolled from your previous plan (if it has prescription drug coverage).
  • Fail to pay your Part D-IRMAA to the government and CMS notifies the plan to effectuate the disenrollment.

ou may also be disenrolled for "disruptive behavior." Disruptive behavior is defined as behavior that substantially impairs UnitedHealthcare's ability to arrange or provide care for you or other plan members. Other Medicare prescription drug plan sponsors may decline your enrollment if you have been disenrolled for disruptive behavior. 

In all cases of disenrollment, your plan is required to provide proper notice to you and give you the opportunity to appeal the decision prior to disenrollment.

You can request disenrollment from your Medicare Advantage (Part C) plan, your Medicare Special Needs plan (SNP) or Medicare prescription drug (Part D) plan and switch to Original Medicare (Parts A and B) online or by mail/fax:

  • Disenrollment Form (Online) Medicare Advantage Plan Disenrollment - Fill out the form and submit the request online.
  • Disenrollment Form (PDF) Medicare Advantage Plan Disenrollment - Print the PDF form. Fill it out in black/blue ink. Mail or Fax it using the directions on the form.

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The cardiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed with the help of physician advisory groups to encourage appropriate and rational use of cardiology services. Using them helps reduce risks to patients and improves the quality, safety and appropriate use of cardiac procedures.

Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. 

The oncology prior authorization and notification programs aim to increase quality and patient safety by increasing compliance with evidence-based standards of care. 

UnitedHealthcare Community Plan - Complete Care

  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective Sept. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective Aug. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective Mar. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective Jan. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective Dec. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective Oct. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective Sept. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective July 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective June 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective May 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective Feb. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona CC - Effective Jan. 1, 2021

UnitedHealthcare Community Plan - Developmentally Disabled

  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective Sept. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective Aug. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective Mar. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective Jan. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective Dec. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective Oct. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective Sept. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective July 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective June 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective May 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective Feb. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective Jan. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona DD - Effective Oct 1, 2021

UnitedHealthcare Community Plan - Long Term Care

  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective Sept. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective Aug. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective Mar. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective Jan. 1, 2022
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective Dec. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective Oct. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective Sept. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective July 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective June 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective May 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective Feb. 1, 2021
  • UnitedHealthcare Community Plan Prior Authorization Arizona LTC - Effective Jan. 1, 2021

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan

  • View past Medicare Prior Authorization Requirements

The radiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for diagnostic imaging procedures. They help reduce risks to patients and improve the quality, safety and appropriate use of imaging procedures.

How do I submit prior authorization to UnitedHealthcare?

UnitedHealthcare Prior (Rx) Authorization Form.
Form can be faxed to: 1 (866) 940-7328..
Phone number: 1 (800) 310-6826..
Step 1 – Enter today's date at the top of the page..
Step 2 – “Section A” must be completed with the patient's information..

How long does it take to get prior authorization from United Healthcare?

A decision on a request for prior authorization for medical services will typically be made within 72 hours of us receiving the request for urgent cases or 15 days for non-urgent cases.

Does United Healthcare do retro authorizations?

Retroactive Authorization request: • Authorization will be issued when due to eligibility issues. after an appeal is filed. UHC often doesn't receive complete clinical information with an authorization to make a medical necessity determination.

Does UnitedHealthcare require pre authorization for MRI?

If the procedure being performed is not for a contiguous body part, the ordering care provider must obtain a new prior authorization number. - UnitedHealthcare must issue a prior authorization number prior to the procedure being performed.