Medicaid plans

Referrals from your PCP

Your PCP can handle most routine health care needs. If you need to see a network specialist or other network provider, you may need to get a referral from your PCP. Your PCP will make a referral based on your health situation. They may or may not refer you to a particular specialist in this directory who you want to see. Generally, your PCP will provide follow-up care, as needed. Please see the Evidence of Coverage for information about access to specialists. This directory provides a list of skilled nursing facilities for all networks. Contact your PCP for a referral to a network skilled nursing facility. The "network providers" listed in this directory have agreed to provide you with your health care coverage. However, some services may require a referral. If you have been going to one network provider, you are not required to continue going to that same provider. Check your Evidence of Coverage to make sure your plan includes additional benefits or that you've signed up for optional supplemental riders before making appointments for dental, vision or hearing services.

If you don’t have your copy of the Provider Directory, you can request a copy from Customer Service.

Florida

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Ohio

Looking for specialty disclaimers?

UHC Community Plan of Ohio uses Medical Service Company (MSC) for Respiratory Supplies

Ohio Medicaid members must order respiratory supplies from one vendor. The vendor is Medical Service Company. To get supplies contact the Medical Service Company team:

Medical Service Company Dedicated Intake Team

Hours from 8:30 am to 5:00 pm Monday - Friday

Note: Ohio Medicare Dual SNP and MyCare are excluded. Members under the age of 7 are excluded. Please use the online directory to find a supplier.

UHC Community Plan of Ohio uses Edgepark for Incontinence Supplies

Ohio Medicaid members must order incontinence supplies from one vendor.  The vendor is Edgepark. To get supplies contact the Edgepark team:

Edgepark’s Dedicated Intake Team

Note: Ohio Medicare Dual SNP is excluded. Please use the online directory to find a supplier.

Tennessee

EPSDT

The EPSDT or Early and Periodic Screening, Diagnostic, and Treatment Program is called TennCare Kids in Tennessee. It is the name for the program that provides health care for your child and teen. TennCare Kids is a full program of check ups and health care services for your child, which can be conducted by a Primary Care Provider (PCP) that accepts patients under the age of 21. These check ups are important even if your child seems healthy. They help your PCP find and treat problems early. In TennCare Kids, check ups for children are free until they reach age 21. TennCare Kids also pays for all medically necessary care and medicine to treat problems found at your child’s check up. This includes medical, dental, speech, hearing, vision, and behavior or mental health problems.

TennCare Kids check ups include:

  • Health history
  • Complete physical exam
  • Lab tests (as needed)
  • Immunizations
  • Vision/Hearing screening
  • Developmental/Behavioral screening (as needed)
  • Advice on how to keep your child healthy

Children should have a TennCare Kids check up when they are:

  • at birth
  • 3 – 5 days old
  • 1 month
  • 2 months
  • 4 months
  • 6 months
  • 9 months
  • 12 months
  • 15 months
  • 18 months
  • 24 months
  • 30 months
  • Every Year: Ages 3 – 20

Your child can also have PCP visits at other times if needed. For example, a teacher might see something that calls for a PCP visit. These visits are part of the TennCare Kids program.

To schedule a TennCare Kids visit, call your child’s PCP or Member Services at 1-800-690-1606, TTY 711.

Texas

STAR/CHIP/STAR+PLUS
Need help finding a provider or setting up a visit?
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.

¿Necesita ayuda para encontrar un médico o programar una consulta?
Llame al teléfono de servicio al cliente 1-888-887-9003, TTY 7-1-1, de Lunes a Viernes de 8 a.m. a 8 p.m. o envíe un correo electrónico a memberservices_uhccp@uhc.com con gusto le ayudaremos encontrar un médico o programar una consulta.

STAR Kids
Need help finding a provider or setting up a visit?
Call Member Services at 1-877-597-7799, TTY 7-1-1, Monday-Friday 8 a.m.-5 p.m. or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.

¿Necesita ayuda para encontrar un médico o programar una consulta?
Llame al teléfono de servicio al cliente 1-877-597-7799, TTY 7-1-1, de Lunes a Viernes de 8 a.m. a 5 p.m. o envíe un correo electrónico a memberservices_uhccp@uhc.com con gusto le ayudaremos encontrar un médico o programar una consulta.