Posted in #reimbursement, #unitedhealthcare, Payer Updates, Training, Updates

UHC Minnesota Community Plan: non-emergency transport

Effective immediately, UHC is going to process claims and payment for all non-emergency transportation services for Community Health Plans of Minnesota.


The following HCPCS codes are affected:

HCPCS code A0428: Ambulance service, basic life support, non-emergency transport

HCPCS code A0130: Non-emergency transportation: wheelchair van


This change applies to the following plans:

  • UnitedHealthcare® Families and Children Medical Assistance (PMAP)
  • MinnesotaCare
  • Minnesota Senior Health Options (MSHO)
  • Minnesota Senior Care Plus (MSC+)
  • Special Needs Basic Care (SNBC) plans

Providers please submit your claims directly to the UHC  Community Plan instead of submitting them to MTM Inc.

Any previousely unpaid claims that were submitted to MTM Inc. on DOS 7/1/22 and thereafter can be resubmitted to UHC Community HealthPlan directly Oct 1,2024. Timely filling will be waived for these 2 particular codes.


Submitting claims:

Using UHC EDI or UHC portal.

For any further questions, providers can chat with UHC 7 a.m.–7 p.m. CT, Monday–Friday from the UnitedHealthcare Provider Portal.open_in_new For additional contact information, visit UHC Contact us page.


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Posted in Insurance, Training, Updates

UHC-Exchange Plans Prior auth change for non-emergent ambulance services in several States…

As of 02/01/2021 Exchange Plans in the following states: Arizona, Maryland, North Carolina, Oklahoma, Tennessee, Virginia and Washington will require an authorization for non-emergent ambulance services.

Codes affected:

A0430, A0435 and S9960

Submitting Prior authorization:

The provider has to request an authorization ELECTRONICALLY. Non electronic prior auth request will NOT be processed.

If you need help in wit an online UHC tool please visit self-paced overview and training course. For more info visit UHCprovider.com/paan.

To access Exchange plans descriptions please select your state and clink on the link below:

Arizona UHC Exchange Plans- click here for information

Maryland UHC Exchange Plans- click here for information

North Carolina Exchange Plans- click here for information

Oklahoma Exchange Plans- click here for information

Tennessee Exchange Plans- click here for information

Virginia Exchange Plans- click here for information

Washington Exchange Plans- click here for information