- Medicaid MCOs are responsible for providing all services and benefits available to clients of the Medicaid Fee-for-Service (FFS) Program to the MCO’s Medicaid Members, in the same amount, duration, and scope as is available through FFS as reflected in the state plan under Title XIX of the Social Security Act Medical Assistance Program and detailed in the Texas Medicaid Provider Procedures Manual (TMPPM).
- The TMPPM is located here
- Members may also call into member services to clarify prior authorization requirements or obtain assistance with a request.
- STAR+PLUS, STAR and CHIP: 1-888-887-9003
- STAR Kids: 1-877-597-7799
- MMP: 1-800-256-6533
To get incontinence supplies from Tenderheart Health Outcomes, please call 1-866-295-2319.
Prior authorization is required for incontinence supplies through your Service Coordinator when not provided by Tenderheart Health Outcomes.
To get incontinence supplies from a provider other than Tenderheart Health Outcomes, please call your Service Coordinator at 1-800-349-0550.
Members have the choice to opt out of using Tenderheart Health Outcomes and use another network provider. To search for other providers, click here
Prior authorization is your provider’s responsibility. If they do not obtain prior authorization, you will not be able to get those services. To request prior authorization, contact your Primary Care Provider (PCP) or call Member Services at 1-888-887-9003.
Member newsletters
2024
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2023
(Opens in new window) PDF 2.08MB - Last Updated: 05/26/2023
(Se abre en una ventana nueva) PDF 1.82MB - Last Updated: 05/26/2023
2022
(Opens in new window) PDF 1.49MB - Last Updated: 04/21/2023
(Se abre en una ventana nueva) PDF 1.49MB - Last Updated: 04/21/2023
(Opens in new window) PDF 1.39MB - Last Updated: 04/21/2023
(Se abre en una ventana nueva) PDF 1.38MB - Last Updated: 04/21/2023
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Toll-free phone numbers for texas health care information
DANSA- Dallas Area NorthSTAR Authority
For information about NorthSTAR and behavioral health services.
1-877-653-6363 (TDD 1-800-735-2989)Medical Transportation Program
For information about medical transportation in the Medicaid and Medicaid Managed Care programs.
1-877-633-8747 (TDD 1-800-735-2989)Medicare Hotline
For policy and benefit information.
1-800-633-4227Social Security
For information about Social Security Supplemental Income (SSI) or to locate the Social Security Office nearest to you.
1-800-772-1213 (TDD 1-800-325-0778)Texas Health Steps (THSteps) and Case Management for Children and Pregnant Women
For information about the Texas Health Steps Program and case management for children under 21 years of age.
1-877-847-8377 (TDD 1-800-735-2989)Texas Health and Human Services Commission Ombudsman Office
For information about qualifying for Medicaid, ID forms, and address changes, programs for elders and persons with disabilities offered, or to locate the local Texas Health and Human Services Commission office nearest you.
1-866-566-8989 8 am - 5 pm, Monday - FridayTexas Office of Consumer Credit Commissioner
Understanding your rights and responsibilities
The Texas Office of Consumer Credit Commission (OCCC) helps the public understand their rights and responsibilities. Find forms and additional information on their website.
Member advisory committee meetings
Member Advisory Council Flyer
(Opens in new window) PDF 318.23KB - Last Updated: 04/21/2023
Member Advisory Committee Meetings Dates 2024
(Opens in new window) PDF 115.48KB - Last Updated: 05/22/2024
Member advocate
Member Advocate Flyer
(Opens in new window) PDF 941.88KB - Last Updated: 09/20/2023
National prescription drug take back day
The Drug Enforcement Administration’s National Prescription Drug Take Back Day is Saturday, October 27. This a safe, convenient, and responsible way to dispose of unused or expired prescription drugs. A list of drug collection sites is available here.
Download the DEA National Take Back Brochure.(Opens in new window) PDF 493.76KB - Last Updated: 04/21/2023
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Time to see your doctor?
It’s important to get medical care when you need it. Call your doctor’s office to make an appointment. Tell them the reason for the visit. This will help them make the appointment within the right time frame.
Download our Access to Care document.(Opens in new window) PDF 72.98KB - Last Updated: 04/21/2023
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Housing Resources
Learn more about Housing Support.(Opens in new window) PDF 579.47KB - Last Updated: 04/21/2023
Housing Resource List by County.(Opens in new window) PDF 149.13KB - Last Updated: 04/21/2023
Annual care checklist
Annual Care Checklist for kids
(Opens in new window) PDF 99.75KB - Last Updated: 04/21/2023
(Se abre en una ventana nueva) PDF 101.68KB - Last Updated: 04/21/2023
Annual Care Checklist for Women
(Opens in new window) PDF 96.42KB - Last Updated: 04/21/2023
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Annual Care Checklist for Men
(Opens in new window) PDF 96.03KB - Last Updated: 04/21/2023
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Learn more
- Frequently Asked Questions
- Glossary
- Links to Health Information
Enrollment information
The Texas STAR+PLUS plan specialists can answer questions.
8:00 am to 8:00 pm local time, Monday – Friday
You have chosen to enroll in
This plan is not currently available in the ZIP code entered.
Face-to-face assessments return
- As of January 2023 some types of assessments will require a face-to-face visit. This means a United Healthcare staff member will need to visit with you in your place of residency.
- Please be advised that missing your assessment could impact your services or eligibility. If you have questions, please contact your Service Coordinator or Member Services.
- Call Member Services at 1-888-887-9003, TTY 7-1-1, Monday-Friday 8 a.m.-8 p.m. or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.
Get the details
Visit the Texas CHIP & Medicaid site for more information on eligibility and enrollment.
For information in alternate formats, like large print, Braille or audio, please call Member Services. Contract information can be found on STAR PLUS Contract Operational (texas.gov)
Enrollment information
The Texas STAR+PLUS plan specialists can answer questions.
8:00 am to 8:00 pm local time, Monday – Friday
You have chosen to enroll in
This plan is not currently available in the ZIP code entered.
Face-to-face assessments return
- As of January 2023 some types of assessments will require a face-to-face visit. This means a United Healthcare staff member will need to visit with you in your place of residency.
- Please be advised that missing your assessment could impact your services or eligibility. If you have questions, please contact your Service Coordinator or Member Services.
- Call Member Services at 1-888-887-9003, TTY 7-1-1, Monday-Friday 8 a.m.-8 p.m. or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.
Get the details
Visit the Texas CHIP & Medicaid site for more information on eligibility and enrollment.
For information in alternate formats, like large print, Braille or audio, please call Member Services. Contract information can be found on STAR PLUS Contract Operational (texas.gov)
Member information
You have access to our member-only website. Print ID cards and more. View our handbook below.
Member information is available in paper form, at no cost, upon request, and sent by the health plan within five business days.
(Opens in new window) PDF 1.05MB - Last Updated: 09/01/2024
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Do you have other format needs?
We offer our materials in large print, audio files, and Braille. Call us today to let us know if you need information in a different format.
Member information
You have access to our member-only website. Print ID cards and more. View our handbook below.
Member information is available in paper form, at no cost, upon request, and sent by the health plan within five business days.
(Opens in new window) PDF 1.05MB - Last Updated: 09/01/2024
(Opens in new window) PDF 1.13MB - Last Updated: 09/01/2024
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Do you have other format needs?
We offer our materials in large print, audio files, and Braille. Call us today to let us know if you need information in a different format.
See what UnitedHealthcare has to offer.
Video transcript
It’s your health. It’s your choice.
Everyone deserves affordable health care, including you.
Seniors and people with disabilities, who qualify for Medicaid’s STAR+PLUS Program, should check out UnitedHealthcare Community Plan of Texas
We have the Medicaid benefits and extras that can make a real difference in your life. All at no cost to you.
- Find a Primary Care Physician you trust in our network to be your main doctor.
- Vision coverage.
- Transportation to and from doctor appointments.
- 24/7 Nurse Hotline to answer your health questions.
Sometimes, you might need a little extra help. Get extras not covered by Medicaid.
- Receive one fire and waterproof bag per fiscal year to safely store important documents, medications and personal items when experiencing a natural disaster.
- Receive an exercise kit to help you adopt an active lifestyle or to lose weight.
- Online mental health services.
- Help getting a ride when traditional Medicaid transportation is not available.
We also offer resources to help you make the most of your plan. Including:
- Member Advocates
- Service Coordinators
- Health Education Tools
- Care Management
Visit yourtexasbenefits.com for more information.
Helping you live a healthier life. We are here for you, Texas
Remember to choose UnitedHealthcare Community Plan. And get the Plan that gives you more.
To learn more about UnitedHealthcare Community Plan, visit UHCCommunityPlan dot com forward slash TX.
Video transcript
At UnitedHealthcare we want to make sure you can access all the benefits your plan provides.
If you’ve had a change in your health status and your doctor determines you need a wheelchair, your plan is here for you.
To make sure you get the equipment you need with the coverage you have, follow these simple steps.
You may need a wheelchair evaluation referral from a healthcare provider in your plan’s network for wheelchairs with special features.
Next a Durable Medical Equipment or DME vendor in your health plan network is located.
In many cases, your healthcare provider can help locate an in-network provider and send the referral.
If the health care provider does not complete this step we can help you find an in-network provider and schedule an appointment.
It is important to understand what your insurance does and does not cover, so that you don’t have unexpected expenses.
And we can help you with that.
Once the referral has been sent to the identified provider the evaluation will be performed by a physical therapist, an occupational therapist or a physiatrist who specializes in determining proper seating and positioning.
This evaluation may take place in your home or in the DME provider’s office.
If the assessment takes place at the provider office, be sure to bring your wheelchair with you if you have one.
During the visit you may be asked to provide additional information including your health status and risk factors, transportation needs, and information on your home environment (if the assessment does not take place in your home).
Wheelchairs may take anywhere from 60 to 90 calendar days to be delivered.
Factors such as supply chain issues and availability of parts may cause additional delay.
Your DME provider can assist you with a loaner chair during the waiting period if needed.
When your new wheelchair is delivered be sure to sit in it to ensure proper fit and adjustments.
And even if you have experience with wheelchairs do take the time for the vendor to provide instructions on the use of the chair and its features, care and maintenance.
If any equipment you are requesting is not a covered benefit you may be asked to pay out of pocket for the equipment.
The vendor should provide you with a clear explanation of why it is not part of your benefits.
Generally, a wheelchair should last at least five years, although growing children may need a new chair more often.
If you already use a wheelchair and it’s damaged and unable to be repaired you may also be eligible for a new wheelchair.
Over time your insurance and DME providers may change.
So, be sure and keep all the information about the chair, the DME provider, the coverage and any documentation on any repairs or changes made.
Remember, if you have any questions or need more information visit myuhc.com/CommunityPlan or call member services at the number on the back of your member ID card.
Please select your county.
Individual & Family ACA Marketplace Plans Disclaimer (scroll within this box to view)The benefits described may not be offered in all plans or in all states. Some plans may require copayments, deductibles and/or coinsurance for these benefits. This policy has exclusions, limitations, reductions of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, review your plan documents, call or write your insurance agent or the company, whichever is applicable. Plan specifics and benefits vary by coverage area and by plan category. Please review plan details to learn more.
UnitedHealthcare Individual & Family plans medical plan coverage offered by: UnitedHealthcare of Arizona, Inc.; Rocky Mountain Health Maintenance Organization Incorporated in CO; UnitedHealthcare of Florida, Inc.; UnitedHealthcare of Georgia, Inc; UnitedHealthcare of Illinois, Inc.; UnitedHealthcare Insurance Company in AL, KS, LA, MO, NJ, and TN; Optimum Choice, Inc. in MD and VA; UnitedHealthcare Community Plan, Inc. in MI; UnitedHealthcare of Mississippi, Inc.; UnitedHealthcare of New Mexico, Inc.; UnitedHealthcare of North Carolina, Inc.; UnitedHealthcare of Ohio, Inc.; UnitedHealthcare of Oklahoma, Inc.; UnitedHealthcare of South Carolina, Inc.; UnitedHealthcare of Texas, Inc.; UnitedHealthcare of Oregon, Inc. in WA; and UnitedHealthcare of Wisconsin, Inc. Administrative services provided by United HealthCare Services, Inc. or its affiliates.
This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, call or write your insurance agent or the company, whichever is applicable. By responding to this offer, you agree that a representative may contact you.
1 Unless otherwise required, benefits are available only when services are delivered through a Designated Virtual Network Provider. Virtual visits are not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Services may not be available at all times, or in all locations, or for all members. Check your benefit plan to determine if these services are available. Data rates may apply. Certain prescriptions may not be available and other restrictions may apply.
2 Tier 2 prescriptions for $5 or less not available on all medications. 3-month fills apply to select maintenance medications only. Applicable formulary requirements such as prior authorization and quantity limits may apply to your pharmacy benefits. Walgreens discount valid until 12/31/24. Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members eligible for the UnitedHealthcare discount program. Discount cannot be used online. For a full list of Walgreens brand health and wellness products and exclusions, please visit www.walgreens.com/smartsavings.
Last Updated: 08.30.2024 at 08:43 AM CDT
Disclaimer information (scroll within this box to view)Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.
UnitedHealthcare Dual Complete plans
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
Premium disclaimer
Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).
Benefit disclaimer
Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.
Nurse Hotline disclaimer
This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.
UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan)
UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.
UnitedHealthcare Connected® (Medicare-Medicaid plan)
UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.
UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan)
UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees.
UnitedHealthcare Connected® general benefit disclaimer
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook.
UnitedHealthcare Senior Care Options (HMO SNP) plan
UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.
Star ratings disclaimer
Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.
Important provider information
The choice is yours
We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.
The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.
Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.
Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.
American Disabilities Act notice
In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.
Referrals
Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.
Paper directory requests
Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.
Inaccurate information
To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 / TTY 711, or use your preferred relay service.
Declaration of disaster or emergency
If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.
- Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
- Where applicable, requirements for gatekeeper referrals are waived in full;
- Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
- The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.
If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.
