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Our Quality Improvement Program

At United Healthcare (UHC), our mission is to help people live healthier lives and make the health system work better for everyone. We serve Medicaid and MinnesotaCare members in the 7 county metro area and in St Louis County and Scott County. In St Louis county we also serve members with SNBC, MSHO, and MSC+. In addition, we also serve members with SNBC in Scott County. United HealthCare is always working to improve the quality of health care and services our members receive. United HealthCare evaluates its programs to make sure we are making meaningful quality improvements.  

How we identify problems and fix them

  • We use tools like data and surveys to find areas or groups of people that need extra help.
  • We work with providers and members to make sure that members get the care that they need when they need it.
  • We share learning materials with providers and members.
  • We offer financial incentives to facilitate appropriate care.
  • Members with complex needs receive extra support from our case managers.
  • We meet with our members in the community.
  • We partner with local groups that support the communities we serve.

United Healthcare Quality Goals

  • Promote population health management programs and activities
  • improve the member and provider experience
  • Adhere to accreditation and regulatory requirements
  • Serve diverse populations

S.T.O.P. COVID Initiative

Early in the COVID-19 pandemic, it was clear that there were health differences for BIPOC communities. This was found in both the testing and cases of COVID-19. BIPOC communities were having worse outcomes. This was also found in those going to the hospital, and COVID deaths. We saw that we could use our resources to help address that difference.

We knew that communities know their challenges and understand the help they need. We connected with community partners to better understand what they needed. We planned our response with their input. We built our support on critical community-based groups. We included faith-based groups and included federally qualified health centers. And we included local government. The response needed to be focused on the community.

We found that we could help with the differences in testing. But our communities told us that they needed more than that. They told us to expand the focus beyond testing and provide social support. This included food and safety kits. It also included help in connecting to community organizations. We needed to work with the whole person. 

Our goal was that 50% of those who were tested were BIPOC. We were able to meet that goal with 50% BIPOC individuals taking part.

With Minnesota Community Care, S.T.O.P. COVID initiative delivered over 2,000 vaccines and over 1,000 safety kits in 2020 and 2021. 

We found that being community-focused is needed to make a difference.

We found that we need to bring together local government, providers, and the community. After that we can use our data and technology. Then we can shape our programs to improve health equity and health outcomes. We continue to develop strong local community connections to make a healthy difference. 

We want to hear your questions and feedback! Please contact us if you would like to learn more or share ideas for what we can do better. Contact United Healthcare at 1-888-269-5410 / TTY: 711 or use your preferred relay service 8 am to 6 pm local time, Monday to Friday.

Healthy First Start Initiative

We want members to have a healthy pregnancy and healthy baby. Healthy First Start is a program offered through your health plan. We will work with you and your to help you take healthy steps through pregnancy and after delivery. 

After the baby is born, it is important to bring the baby to the doctor. The provider will check things like the baby’s weight, eyes, ears, and heart. When the baby grows older, doctors can help teach parents how to raise a healthy child. This might mean talking about exercise, healthy food, and how to prevent injuries.

Our program helps pregnant members before and after they have their babies. We can help find community resources, medical and behavioral healthcare, give tips for how to have a healthy pregnancy, and offer rewards for visiting the doctor. We help families get the care and support they need when they need it most.

It can be hard to reach members early in their pregnancy if we do not know they are pregnant. We can’t help members if we don’t have the right address or phone number. We ask our members to contact us and their county when they are pregnant or have an address or phone number change. When we and the county have this information, we can sign them up for our program. This makes sure pregnant members receive all the benefits we offer. 

The goal of the program is to have our pregnant members and their babies be as healthy as possible. We look at data related to access of care, health outcomes of our members, and member satisfaction. Data is reviewed on an ongoing basis and each year. An evaluation of the Healthy First Steps® program also happens each year.

We will continue to support our members to get doctor appointments, doulas, access to food, transportation, car seats, and housing. In 2023, we plan to work with doctors in to learn about member pregnancies earlier. Our goal is to help members have healthy pregnancies and remove barriers to care. 

We want to hear your questions and feedback! Please contact us if you would like to learn more or share ideas for what we can do better. Contact United Healthcare at 1-888-269-5410 / TTY: 711 or use your preferred relay service 8 am to 6 pm local time, Monday to Friday.

Accreditation

The UHC Community Plan is new in Minnesota. A group called the National Committee for Quality Assurance (NCQA) shares information with us on how to improve the quality of health care we provide to members. As a new plan, it is our goal to meet their standards for accreditation. Being accredited means we have made a promise to manage high quality care standards. To learn more about NCQA, visit their website.

Contact Us

We want to hear your questions and feedback! Please contact us if you would like to learn more or share ideas for what we can do better. Contact United Healthcare at 1-888-269-5410 / TTY: 711 or use your preferred relay service 8 am to 6 pm local time, Monday - Friday.

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Disclaimer Information
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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).

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 2023.

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.