Provider Forms and References | UnitedHealthcare Community Plan of Minnesota
See the forms below to stay up-to-date on changes and other issues that are important to your practice.
General Forms
Health Homes
- Behavioral Health Home Services Form (must be signed in to use)
- Health Care Home Services Form (must be signed in to use)
Contact Provider Call Center 1-877-440-9946, available from 8:00 a.m. - 5:00 p.m. Central Time.
Submit a Pre-Service Appeal and or Grievance for a Medicaid Member