July 31, 2017
Area(s) of Interest: Commercial Payors Payor Issues and Reimbursement Practice Management
UnitedHealthcare (UHC) Community Plan is inviting physicians to attend a series of presentations regarding the planned launch of its Medi-Cal Managed Care program in Sacramento and San Diego counties, effective October 1, 2017. UHC recently faxed a notice to its Community Plan contracted physicians in San Diego and Sacramento, advising them of the series of 90-minute webinars that will provide information and resources regarding eligibility, claims and authorization procedures. Participants are required to pre-register for the webinars under the “Training Center” tab on the uhc.webex.com website.
Additional information on the UnitedHealthcare Community Plan can be found on the UHC website.
In December 2014, UHC notified a subset of physicians in Sacramento and San Diego counties that they had either been automatically opted into the new Medi-Cal network or that they would be required to sign a written amendment confirming their willingness to join the UnitedHealthcare Community Plan. Rates and terms were included with both notices.
Physicians who were automatically opted in to the Community Plan had the option to opt out without affecting their underlying UHC commercial contracts. Physicians who did not wish to participate in the UHC Community Plan product had to notify UnitedHealthcare of their decision to opt out within 30 days of receipt of the notification.
Physicians with questions regarding the Community Plan rollout can contact UnitedHealthcare’s Network Management Resource Team at (866) 574-6088.