Join our network - Ancillary providers and centers

• Proof of accreditation and good standing by the Centers for Medicare & Medicaid Services (CMS)
• Approval by independent national accreditation organization (AO) for DMEPOS
• Proof of enrollment in individual state Medicaid plan(s), if applicable 

To submit a request to join the UnitedHealthcare DMEPOS network, email completed online questionnaire with required documentation to dmeposnetwork@uhc.com.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

• Federally funded covered entity in the 340B Drug Pricing Program
• Licensure to do business in the state(s)
• Medicare enrollment status
• Proof of enrollment in individual state Medicaid plan(s)

Email completed online questionnaire with required documentation and required supplemental information to ancillarynetwork@uhc.com.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

• You’ll receive a confirmation email verifying that your participation request was received
• We’ll review your application and make a decision within 15 business days
• If approved, a representative will contact you with next steps in the participation process

• You’ll receive a confirmation email verifying receipt of your participation request
• We’ll review your application and make a decision within 15 business days
• If approved, a representative will contact you regarding next steps
• If declined, you will receive an email or letter advising of the determination

• JCAHO, URAC, CHAP, TCT or ACHC accreditation for home infusion providers
• URAC accreditation for specialty pharmacy providers
• Licensure to do business in the state(s)
• Medicare enrollment status
• Proof of enrollment in individual state Medicaid plan(s), if applicable 

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

• You’ll receive a confirmation email verifying that your participation request was received
• We’ll review your application and make a decision within 15 business days
• Upon approval, a representative will contact you with next steps in the participation process
• If the application or supporting documentation is incomplete, you will receive an email identifying the missing information
• The review will begin upon the receipt of the completed required documentation

• Medicaid participation: Please include relevant Medicaid IDs issued by the applicable state
• Advanced radiology services (e.g., CT, MRI, MRA, PET, nuclear medicine): Please include an independent accreditation certificate or letter from an accreditation agency (e.g., ACR, IAC, etc.), if applicable 

Imaging/radiology centers/mobile imaging centers: Email completed questionnaire with required documentation and supplemental information to ancillarynetwork@uhc.com.

Portable X-ray: Please start the credentialing process within Onboard Pro.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

• You’ll receive a confirmation email verifying that your participation request was received
• We’ll review your application and notify you of the decision in writing
• If approved, a representative will contact you with next steps in the participation process

• You’ll receive a confirmation email verifying that your participation request was received
• We’ll review your application and make a decision within 15 business days
• Upon approval, a representative will contact you with next steps in the participation process
• If the application or supporting documentation is incomplete, you will receive an email identifying the missing information

• National Provider Identifier (NPI) number
• Copies of CLIA, CAP, CLEP and state-specific certifications
• Medicare number
• Medicaid numbers by state
• Professional liability certification

• Complete the Credentialing application using the automated onboarding self-service tool, Onboard Pro
• Complete questionnaire and disclosure submission
• Email completed forms to naspi@uhc.com and include the facility name, tax ID number (TIN) and state in the subject line

• You’ll receive a determination email within 90 days of submission
• Your contract manager will send you credentialing documents and begin contract preparation
• Completing the credentialing process does not guarantee a contract will be offered
• The effective date of the agreement will be assigned after the contract is accepted
• You will be sent a fully executed contract 

• Proof of state Medicaid enrollment
• Completed Pharmacist Provider Enrollment form
• Pharmacist/pharmacy contact information
• Individual and/or location National Provider Identifier (NPI) number and/or tax ID number (TIN)
• W-9
• Additional documents as required per state Medicaid program
• Proof of professional liability insurance

• All providers must first enroll with the individual state-specific Medicaid program. If you are not currently enrolled, information on how to complete this process may be found through the state Medicaid site or the state’s UnitedHealthcare Community Plan Medicaid Enrollment Resources
• After enrolling with the state’s Medicaid program, complete and submit the Pharmacist Provider Enrollment form. 
• Once you’re enrolled as a UnitedHealthcare Community Plan in-network provider, you’ll need to create a One Healthcare ID, if you don’t already have one, and register for the UnitedHealthcare Provider Portal. You will use this secure portal to work with us, and access patient- and practice-specific information.

• You’ll receive a confirmation email verifying that your participation request was received
• We’ll review your application and make a decision within 15 business days
• Upon approval, a representative will contact you with next steps in the participation process
• If the application or supporting documentation is incomplete, you will receive an email identifying the missing information

• Ground and air ambulance: Please include proof of accreditation and good standing by the Centers for Medicare & Medicaid Services (CMS)
• Air ambulance: Proof of participation in an independent accreditation organization (CAMTS, EURAMI, etc.), as applicable
• Medicaid participation: Include relevant Medicaid IDs issued by the applicable state

To submit a request to join the UnitedHealthcare network, email the completed online questionnaire with required documentation to ancillarynetwork@uhc.com.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

• You’ll receive a confirmation email verifying that your participation request was received
• We’ll review your application and make a decision within 15 business days
• Upon approval, a representative will contact you with next steps in the participation process
• If the application or supporting documentation is incomplete, you will receive an email identifying the missing information