How to Join the UnitedHealthcare network

This section covers the credentialing, contracting and enrollment process for facilities who are involved in testing, health care supplies and services.

As an ancillary provider, you must be enrolled with Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your provider enrollment.

The next step in the network participation request process is to determine if your facility requires credentialing.

Credentialing Required

• Ambulatory surgical centers
• Diabetes education centers
• Dialysis
• Home health/Home infusion (Note that Home infusion is credentialed/contracted only if it is part of a Home Health agency)
• Hospice
• Lab or radiology

 If you are in one of these specialties, here’s how to request to join the UnitedHealthcare and Indiana Hoosier Care Connect network as an ancillary health care professional:

• Already credentialed with UnitedHealthcare: Email National Ancillary Contracting Team:
  • ASC requests: ASCNetwork@uhc.com
  • Home Health Care + Hospice requests: HHCNetwork@uhc.com
  • Durable Medical Equipment, including Prosthetics & Orthotics requests: DMEPOSNetwork@uhc.com
  • All other free-standing ancillary service types: AncillaryNetwork@Uhc.com
• All requests for a National Ancillary contract: Naspi@uhc.com
  • In the email, please note if the request is for a new health care professional/group or if you are adding someone to an existing contract.

• Not yet credentialed with UnitedHealthcare:  Submit your request to join our network through UnitedHealthcare’s Onboard Pro self-service tool.

Credentialing Not Required

• Ambulatory infusion suites
• Convenience care
• Durable medical equipment providers (equipment, orthotics, prosthetics and medical supplies)
• Hearing
• Hemophilia treatment centers
• Independent diagnostic testing facilities ​(cardiac monitoring, home sleep testing, sleep centers and home PT/INR testing)
• Specialty medications (non-retail pharmacy)
• Transportation (ambulance and non-emergency transportation)
• Telemedicine
• Urgent Care

If you are in one of these specialties, you can request to join the UnitedHealthcare and Indiana Hoosier Care Connect network by emailing the National Ancillary Contracting Team:

• ASC requests: ASCNetwork@uhc.com
• Home Health Care + Hospice requests: HHCNetwork@uhc.com
• Durable Medical Equipment, including Prosthetics & Orthotics requests: DMEPOSNetwork@uhc.com
• All other free-standing ancillary service types: AncillaryNetwork@Uhc.com
• All requests for a National Ancillary contract: Naspi@uhc.com

In the email, please note if the request is for a new health care professional/group or if you are adding someone to an existing contract.

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. ​Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

You can also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m.

If your specialty does not require credentialing, please skip to Step 3: Get Contracted.

You can start the application process at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application). If you have questions on accessing the CAQH Provider Data Portal database, call the CAQH Help Desk at 888-599-1771 for assistance.

To assist in this process:

• Review what’s needed for credentialing
• You must complete each step in the credentialing process to credentialed with UnitedHealthcare

During the credentialing process, we’ll work with you to verify your qualifications, practice history, certifications and registration to practice in a health care field. For more details, review our Credentialing and Recredentialing overview and frequently asked questions.

The following information must be submitted during credentialing:

• Active Medicaid ID obtained through IHCP
  
• Completed UnitedHealthcare facility application form
• Proof of malpractice and general liability insurance
• Proof of Medicare/Medicaid program participation eligibility
• Appropriate accreditation by a recognized agency, or satisfactory alternative
• Centers for Medicare & Medicaid Services (CMS) certification
• Current required license(s)
• Specialty / Facility type
• NPI
• Tax ID
• Physical facility address, including suite number if applicable
• ZIP code + 4
• Contact name
• Phone number
• Fax number
• Email address
• Website
• Billing remittance address
• Billing phone number
• Contract signatory name and email address

You must also be enrolled with Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your provider enrollment.

• A UnitedHealthcare representative will contact you to start the credentialing and contracting process
• You’ll be registered in our system (if you’re not already).

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. ​Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

You can also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m.

The contracting process automatically starts after one of the following actions occur:

• Specialty requires credentialing
  • Already credentialed with UnitedHealthcare: You email the National Ancillary Contracting Team, as noted above in Step 1: Get Started
  • Not yet credentialed with UnitedHealthcare: You submit your request to join our network through UnitedHealthcare’s Onboard Pro self-service tool.

Specialty does not require credentialing: You email the National Ancillary Contracting, as noted above in Step 1: Get Started

Here’s what happens during the contracting process:

• You will receive an email from the National Ancillary Contracting Team within 5 business days that includes a Provider Questionnaire. Please complete the questionnaire in its entirety.
• Return the following items to UnitedHealthcare’s National Ancillary Contracting Team by email:
  • Completed Provider Questionnaire
  • Provider demographic details
  • W-9 (confirming TIN)

Both credentialing and contracting must be completed prior to seeing UnitedHealthcare Hoosier Care Connect members.

If you have questions about our contracting process or need assistance, please respond back to the email from which your questionnaire was sent, or email the National Ancillary Contracting Team:

• ASC requests: ASCNetwork@uhc.com
• Home Health Care + Hospice requests: HHCNetwork@uhc.com
  
• Durable Medical Equipment, including Prosthetics & Orthotics requests: DMEPOSNetwork@uhc.com
  
• All other free-standing ancillary service types: AncillaryNetwork@Uhc.com
  
• All requests for a National Ancillary contract: Naspi@uhc.com
  

Include the provider’s name, National Provider Identifier (NPI), Tax Identification Number (TIN) and brief description of the request. Your contractor will follow-up with you within 5 business days.

In this process, specific information about you is loaded into our data systems:

• Demographics – address, office hours, etc.
• Contract details and arrangements – effective dates, rates, etc.

If we need to clarify information with you during the enrollment process, we’ll contact you by phone or email. If we can’t reach you through either of those methods, we may send you a letter outlining what we need from you. 

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

You can also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m.

This section applies to behavioral health practitioners, ABA providers and facilities. If you work in this specialty area, the process to join our network begins with Optum Behavioral Health. They handle credentialing and contracting on behalf of UnitedHealthcare.

To start the network participation request process, go to Optum’s Join Our Network page and click on the button associated with your provider type (e.g., Individual Clinician, Agency, Facility, Autism/ABA).

• Please complete all fields and submit all applicable information
• Make sure all CAQH information is current and attested
• Ensure all requested documents are current and accurate
• Review the  Optum Provider Express Onboarding Process for additional details

You must also be enrolled with Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your provider enrollment.

A complete request to join the Optum Behavioral Health  network must include:

• Active Medicaid ID obtained through IHCP
• Current CAQH application, with access granted to UnitedHealthcare
• National provider identification (NPI) number
• W-9
• Phone & fax number
• Email address
• Physical address, including suite number if applicable
• ZIP code + 4

If you have questions about the status of an Optum Behavioral Health request for network participation, call 877-614-0484. Please provide your One Healthcare ID for clinicians or your Provider Reference Number for agencies or facilities (provided at time of submission of your request for network participation) to facilitate checking status of your request.

For individual practitioners, you can also use your One Healthcare ID to check status throughout the network participation request process using the Initial Credentialing Toolbar on the Provider Express website.

You can update and attest your credentialing information at CAQH.org.

If you have questions on accessing the CAQH Provider Data Portal database, call the CAQH Help Desk at 888-599-1771 for assistance.

During the credentialing process, Optum Behavioral Health  will work with you to verify your qualifications, licenses, practice history, certifications, and registration to practice in behavioral health.

• Credentialing is required for all licensed behavioral health care professionals and facilities in order to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.
• Both credentialing and contracting must be completed prior to seeing UnitedHealthcare Hoosier Care Connect members.

If you have questions about an Optum Behavioral Health  credentialing application or the status of the application, call 877-614-0484.

For individual practitioners, you can check status throughout the approval process using the Initial Credentialing Toolbar on the Provider Express website.

• If your credentialing application has not been completed and approved prior to returning a signed contract to UnitedHealthcare, you will not receive a countersigned contract until credentialing is complete
• For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.

If you have contracting questions, call Optum Behavioral Health  at 877-614-0484. 

We will load your fully executed contract and demographic information into our claims system and update our provider directory.

We will send you a Provider Welcome Letter with your effective date so you can begin seeing our Hoosier Care Connect members.

If you work in this specialty area, you’ll work with UnitedHealthcare Dental Benefit Providers for credentialing, contracting and enrollment.

To start the network participation request process, follow the steps outlined in the Dental Enrollment, Contracting and Credentialing instructions.

• Download and complete all sections of the provider enrollment packet request form
  • The files in the provider enrollment packet that must be completed and emailed back include:
    • UnitedHealthcare Dental Provider Agreement for Indiana
    • UnitedHealthcare American Dental Association CAQH Provider Data Portal Application Form
    • Americans with Disabilities Act (ADA) Attestation
    • UnitedHealthcare Dental Recruitment and Amendment Letter (as applicable)
    • Email the completed packet to ce_packetrequest@uhc.com
    • Please indicate in the email subject line - "Packet Request – Indiana (County)"

You must also enroll with the Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your IHCP provider enrollment application.

Once your packet has been completed and submitted, a Network Contractor will contact you via email or phone within 5 business days to review dental fees and the application process. They will also discuss everything needed to complete the network participation request process. Your Network Contractor works with you throughout the request for participation process and is your primary source of information. They will provide you with their email and phone number to ensure you’re able to keep the process moving forward.

Once UnitedHealthcare Dental Provider Benefits receives your request, the Network Contractor will send you a dental credentialing checklist. 

You can complete the CAQH application process for dental at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application). Please create/update and attest to your CAQH application prior to beginning the credentialing process. You can also send us your credentialing materials directly.

If you have questions on accessing the CAQH Provider Data Portal database, call the CAQH Help Desk at 888-599-1771 for assistance.

During the credentialing process, UnitedHealthcare Dental Benefit Providers will work with you to verify your qualifications, practice history, certifications and registration to practice in the dental field.

• Credentialing is required for all licensed individual dental professionals to participate in the UnitedHealthcare Dental Provider Network and Indiana Hoosier Care Connect network.
• Providers should expect the credentialing process to be completed within 30 calendar days of submission of all required credentialing information.

Both credentialing and contracting must be completed prior to seeing UnitedHealthcare Hoosier Care Connect members.

Contracting is a separate process from credentialing – we’ll start the contracting process with you while you’re working through credentialing.

The UnitedHealthcare Dental contract (also referred to as a participation agreement) is included in the provider enrollment packet request form you download when you start the process of joining out network. 

Both credentialing and contracting must be completed prior to seeing UnitedHealthcare Hoosier Care Connect members.

You will review the contract and sign it (also referred to as executing it). Then, you’ll return it to UnitedHealthcare Dental by emailing it to your Network Contractor.

Once UnitedHealthcare Dental Benefit Providers receives a signed agreement from you, you are considered fully contracted. UnitedHealthcare will  countersign the contract and send you a copy via mail or email.

You’ll receive a provider welcome letter notifying you that credentialing and contracting is complete, along with the date you can begin seeing Indiana Hoosier Care Connect members as a network provider (your effective date).

• If your credentialing application has not been completed and approved prior to returning a signed contract to UnitedHealthcare Dental Benefit Providers, you will not receive a countersigned contract until credentialing is complete
• For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.

In this process, the fully executed contract and provider demographics information are loaded into the UnitedHealthcare Dental Benefit Providers claims system. You are also added to the dental provider directory. If there are any questions, UnitedHealthcare Dental Benefit Providers will contact you within 5 business days.

You must first enroll with Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your provider enrollment.

Visit the Join Our Network page and scroll down to the How to Submit a Request for Participation section.  

A complete network participation request to join our network must include:

• IHCP practitioner enrollment form (please attach to the Practitioner RFP portal submission)
• Active Medicaid ID obtained through the IHCP
• Current CAQH application, with access granted to UnitedHealthcare
• A scheduled site visit for credentialing (applicable to primary care providers, obstetrics/gynecology, certified nurse midwife, nurse practitioner and physician’s assistant only)
  
• Proof of $250,000/$750,000 in liability insurance
• Hospital privileges or coverage arrangements, if applicable
• Specialty
• Supervising specialty for mid-levels
• Detail if the health care professional is practicing as a primary care provider or specialist
• Degree
• W-9
  
• National provider identification (NPI) number
• Tax ID (TIN)
• Practice address phone number
• Practice address fax number, if applicable
• Email address for credentialing purposes
• Practice address including zip code +4, and including suite number if applicable
• Billing remittance address
• Billing phone number

• A UnitedHealthcare representative will contact you to start the credentialing and contracting process
  • Contracting is a separate process from credentialing – but to help keep things moving, we’ll start the contracting process with you while you’re working through credentialing.
• You’ll be registered in our system (if you’re not already).

We’ll quickly review your application. Within 5 business days, we’ll notify you by mail or email if your request is complete or if we need additional information from you.

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

Providers with delegation agreements with UnitedHealthcare must check the status of the request for network participation with your UnitedHealthcare delegation manager. In all cases when checking status of a request for network participation, please provide your MPIN or PR (provided at time of submission of your request for network participation) or your NPI to facilitate checking the status of your request.

You can start the application process at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application).

If you have questions on accessing the CAQH Provider Data Portal database, call the CAQH Help Desk at 888-599-1771 for assistance.

During the credentialing process, we’ll work with you to verify your qualifications, practice history, certifications and registration to practice in a health care field. 

• Credentialing is required for all licensed individual health care professionals in order to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.
  • Credentialing is not required for medical practitioners that work in an inpatient setting or freestanding facility and provide care for members only because of members being directed to the facility.
    
• Once the primary verification is complete, your application will be presented to a committee of your peers, organized by UnitedHealthcare, to determine if you meet our credentialing requirements.
• Both credentialing and contracting must be completed prior to seeing UnitedHealthcare members.

UnitedHealthcare will complete credentialing within 30 days of receipt of your completed request, in accordance with state requirements.

If there are issues with your credentialing documentation, you may be contacted by a representative from UnitedHealthcare or Verisys, working on behalf of UnitedHealthcare.

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

You can also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m.

For more information about Indiana Hoosier Care Connect network enrollment and credentialing with IHCP managed care entities, view the Instructions for Credentialing and Enrollment with IHCP Managed Care Entities.

We’ll send you a participation agreement (contract) through a secure application called Adobe Sign. If we don’t have a valid email address, we’ll mail you the participation agreement.

• If you’re joining a medical group that already has a participation agreement with UnitedHealthcare, you’ll be added to the group agreement once credentialing is approved. A new contract will not be issued.

Once we receive a signed agreement from you, we’ll countersign the participation agreement and send you a copy, along with the date you can begin seeing members as a network provider (your effective date).

• If your credentialing application has not been completed and approved prior to returning a signed contract to UnitedHealthcare, you will not receive a countersigned contract until credentialing is complete
• For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

You can also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m.

For more information about Indiana Hoosier Care Connect network enrollment and credentialing with IHCP managed care entities, view the Instructions for Credentialing and Enrollment with IHCP Managed Care Entities.

In this process, specific information about you is loaded into our data systems:

• Demographics – address, office hours, etc.
• Contract details and arrangements – effective dates, rates, etc.

If we need request or clarify any information from you during the enrollment process, we’ll contact you by phone or email. If we can’t reach you through either of those methods, we may send you a letter outlining what we need from you.

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

You can also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m.

This section applies to Home and Community Based Service (HCBS) providers.

The Ancillary Community Support Services (ACSS) team supports those provider types typically considered home and community based. Below is a list of provider types managed by this team:

• Adult day Services
• Adult Family care
• Assisted Living
• Attendant Care
• Caregiver Coaching and Behavior Management Services (new)
• Community Transition Services
• Community Transportation
• Home Modification Assessment
• Home Modifications
• Financial Management Services
• Home and Community Assistance
• Home-delivered meals
• Integrated Healthcare Coordination
• Nutritional Supplements
• Personal emergency response systems
• Pest control
• Respite Services
• Specialized Medical Equipment and Supplies
• Structured Family Caregiving
• Vehicle modification

Participation in the HCBS provider network requires care providers to submit the following documents to confirm HCBS certification and Medicaid enrollment with the state:

• Completed Indiana Ancillary Community Support Services Demographic form sent by care provider.
• Copy of DA Waiver Service Certification letter. This letter will be sent in by care provider.
• W-9 form to be sent by care provider.

To start the process, please email the following to hcbsprovidernetwork@uhc.com:

• Provider name
• Provider address
• Contact name
• Contact phone number
• Contact email
• Tax ID number (TIN)
• Legacy Provider Identifier (LPI)
• Services provided

You must also enroll with the Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your IHCP provider enrollment application.

• You will receive a Demographic Form from the National ACSS Team within 5 business days through a secure application called Adobe Sign.
• Once you return the completed Demographic Form with all required documents, including a copy of your HCBS Certification Letter (Division of Aging or Office of Medicaid Policy and Planning), we will review your application and advise within 24 hours if there is any missing information preventing your application from moving forward.
• Once your completed Demographic Form and all required documents are received with no errors, your documents will be uploaded into the system to start the verification process for network participation. 

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

You can also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m.

If you have questions about the process or need assistance, call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

We will validate the providers certification 3 ways.

• Copy of the Certification Letter from the State – should have active start/end date.
• W-9
• License Disbarment/Sanctions – State and Federal sites

If you have questions about the process or need assistance, call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Here’s what happens during the contracting process:

• You will receive a contract from the National ACSS Team within 5 business days through a secure application called Adobe Sign.
• Once your signed contract is received, they’ll countersign the contract and send you a copy, along with the date you can begin seeing members as a UnitedHealthcare Community Network provider (your effective date). 
• For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.

If you have questions about our contracting process or need assistance, please respond back to the email from which your Demographic Form was sent or email the National ACSS Team at hcbsprovidernetwork@uhc.com.

Include the provider’s name, Legacy Provider Identifier (LPI) Tax Identification Number (TIN) and brief description of the request. Your contractor will follow-up with you within 5 business days.

In this process, specific information about you is loaded into our data systems:

• Demographics – address, office hours, etc.
• Contract details and arrangements – effective dates, rates, etc.

If we need to any information from you or need to clarify information with you during the enrollment process, we’ll contact you by phone or email. If we can’t reach you through either of those methods, we may send you a letter outlining what we need from you.

If you have questions about our process or need assistance, please email hcbsprovidernetwork@uhc.com. Include the health care professional’s full name, Legacy Provider Identifier (LPI), Tax Identification Number (TIN) and brief description of the request. If you would like to speak to someone directly, please note that in the email. A UnitedHealthcare representative will respond to your request.

You may also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday–Friday, 8 a.m. to 8 p.m. ET.

Submit your request to join our network through UnitedHealthcare’s Onboard Pro self-service tool

The facility must also be enrolled with Indiana Medicaid. If you haven’t already done so, complete your provider enrollment.

• NOTE:  Federally qualified health centers (FQHCs) and rural health centers (RHCs) should use the practitioner enrollment form for each practitioner

A complete request to join our network must include:

• Active Medicaid ID obtained through IHCP
  
• Proof of malpractice and general liability insurance
  
• W-9
• Specialty / Facility Type
• NPI
• Tax ID
• Physical facility address, including suite number if applicable
• ZIP code + 4
• Phone number
• Fax number
• Email address
• Website
  
• Billing Remittance Address
• Billing Phone Number
• Completed Provider Roster Template (FQHC/RHC only)

• You’ll be registered in our system (if you’re not already).
• We’ll quickly review your application and within 5 business days notify you by mail or email if your request is complete or if we need additional information from you (see the list above outlining what must be included for a request to be considered complete).

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

Credentialing is required for hospitals and ancillary facilities in order to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.

To start the process, you simply need to include the following when you submit a participation request to UnitedHealthcare:

• A completed UnitedHealthcare facility application form when you submit a participation request

During the credentialing process, we’ll work with you to verify:

• Required license(s)
• General/comprehensive liability insurance
• Errors and omissions (malpractice) insurance of $250,000/$750,000
• Proof of Medicare/Medicaid program participation eligibility
• Appropriate accreditation by a recognized agency or satisfactory alternative
• Centers for Medicare & Medicaid Services (CMS) certification
• Site visit (only required if the facility is not accredited or does not have CMS certification)

If there are issues with your credentialing documentation, you may be contacted by a representative from UnitedHealthcare or Verisys, working on behalf of UnitedHealthcare.

Contracting is a separate process from credentialing – but to help keep things moving, we’ll start the contracting process with you while you’re working through credentialing

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

You can also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m.

We’ll automatically send you a participation agreement (contract) by email. If we do not have a valid email address on file for you, we’ll mail or fax you the contract.

Once we receive a signed agreement from you, we’ll countersign the participation agreement and send you a copy, along with the date you can begin seeing members as a network provider (your effective date).

• If your credentialing application has not been completed and approved prior to returning a signed contract to UnitedHealthcare, you will not receive a countersigned contract until credentialing is complete

For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.

To check the status of your credentialing application, Sign In  with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

You can also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m.

In this process, specific information about you is loaded into our data systems:

• Demographics – address, office hours, etc.
• Contract details and arrangements – effective dates, rates, etc.

If we need request or clarify any information from you during the enrollment process, we’ll contact you by phone or email. If we can’t reach you through either of those methods, we may send you a letter outlining what we need from you.

To check the status of your credentialing application, Sign In with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

You can also call Provider Services for UnitedHealthcare Community Plan of Indiana at 877-610-9785, Monday – Friday, 8 a.m. to 8 p.m.

This section applies to chiropractors, outpatient therapy providers (occupational, speech and physical therapy) or alternative medicine providers. If you work in this specialty area, the process to join our network begins with OptumHealth Physical Health. They handle credentialing and contracting on behalf of UnitedHealthcare. To start the process:

New health care professionals/groups

• Go to the OptumHealth Physical Health website and on the right side of the page, click on “Interested in Becoming a Provider?” to complete a requestion for information for network participation
• Select one of the following options:
  • I am a health care provider and would like information about joining an OptumHealth Physical Health network
  • I am a new therapist joining an existing Optum contracted group
  • I am a health care provider and would like to become a Managed Physical Health Network Provider (The Empire Plan) ONLY
• Then complete the required fields and click Submit
• You can also call OptumHealth Physical Health at 800-873-4575

Existing contracted groups/facilities

You must send a Letter of Interest to OptumHealth Physical Health to add Medicaid (UnitedHealthcare Community Plan) to your contract.

• Email:  netdevpubsec@optum.com
• Fax to 855-277-9173

The Letter of Intent must include the following:

• Group Name or Provider Name
• Tax ID Number
• NPI Number
• Place of Service Address
• Phone Number
• Fax Number
• Email Address

All health care professionals

You must also be enrolled with Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your provider enrollment.

Within 3 business days, you will be contacted via Adobe Sign with additional information and next steps:

• New health care professionals/groups – you’ll receive a full OptumHealth application packet with all documents required to join the network, including a contract
• Existing contracted groups/facilities – you’ll receive only the documents needed to add a new therapist to an existing contract, or (if applicable) to add Medicaid (UnitedHealthcare Community Plan) to your contract  

You can email OptumHealth Physical Health at netdevpubsec@optum.com or call 800-873-4575 to check the status of a request for network participation. Providers can also speak with their OptumHealth contractor. Please provide your MPIN (provided at time of submission of your request for network participation), Tax ID or your NPI to facilitate checking status of your request.

OptumHealth Physical Health receives the provider’s request for participation and begins the credentialing process.

OptumHealth Physical Health utilizes CAQH to obtain primary source verification for credentialing. You can start the application process at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application). Please ensure that all CAQH information is up to date and attested to before submitting a request for participation.

During the credentialing process, OptumHealth Physical Health will work with you to verify your qualifications, practice history, certifications and registration to practice in a health care field.

Credentialing is required for all alternative medicine practitioners, outpatient occupational, physical and speech therapy practitioners, and chiropractors in order to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.

The following are required for a provider credentialing application to be considered complete:

• IHCP practitioner enrollment form
• Signed credentialing application attestation within 180 days
• Personal information and professional IDs
• Education and training
• Practice locations
• Professional liability insurance with limits
• Five-year work history, with explanation of gaps of 6 months or more  
• Disclosure questionnaire, including any explanations for affirmative answers, if applicable

If there are any questions about your credentialing application, OptumHealth Physical Health will contact the you via email to address them.

For more information about Indiana Hoosier Care Connect network enrollment and credentialing with IHCP managed care entities, view the Instructions for Credentialing and Enrollment with IHCP Managed Care Entities.

If you have questions about the credentialing process or need assistance, please email  cred_ohcs@optum.com. You can also call OptumHealth Physical Health at 800-873-4575.

OptumHealth Physical Health receives the provider’s request for participation and begins the credentialing process.

OptumHealth Physical Health utilizes CAQH to obtain primary source verification for credentialing. You can start the application process at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application). Please ensure that all CAQH information is up to date and attested to before submitting a request for participation.

During the credentialing process, OptumHealth Physical Health will work with you to verify your qualifications, practice history, certifications and registration to practice in a health care field.

Credentialing is required for all alternative medicine practitioners, outpatient occupational, physical and speech therapy practitioners, and chiropractors in order to participate in the UnitedHealthcare Community Plan and Indiana Hoosier Care Connect network.

The following are required for a provider credentialing application to be considered complete:

• IHCP practitioner enrollment form
• Signed credentialing application attestation within 180 days
• Personal information and professional IDs
• Education and training
• Practice locations
• Professional liability insurance with limits
• Five-year work history, with explanation of gaps of 6 months or more  
• Disclosure questionnaire, including any explanations for affirmative answers, if applicable

If there are any questions about your credentialing application, OptumHealth Physical Health will contact the you via email to address them.

For more information about Indiana Hoosier Care Connect network enrollment and credentialing with IHCP managed care entities, view the Instructions for Credentialing and Enrollment with IHCP Managed Care Entities.

If you have questions about the credentialing process or need assistance, please email  cred_ohcs@optum.com. You can also call OptumHealth Physical Health at 800-873-4575.

Here’s what you can expect:

• New health care professionals/groups – The OptumHealth Physical Health participation agreement (contract) is included in the full OptumHealth application packet you receive via Adobe Sign.
• Existing contracted groups/facilities – you’ll receive only the documents needed to add a new therapist to an existing contract, or (if applicable) to add Medicaid (UnitedHealthcare Community Plan) to your contract  

You can review the contract, sign it and return to OptumHealth Physical Health via Adobe Sign.

Once OptumHealth Physical Health receives a signed agreement from you, they’ll countersign the participation agreement and send you a copy, along with the date you can begin seeing Indiana Hoosier Care Connect members as a network provider (your effective date).

• If your credentialing application has not been completed and approved prior to returning a signed contract to OptumHealth Physical Health, you will not receive a countersigned contract until credentialing is complete.
• For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.

This section applies to Optometrists (full scope of licensure) Ophthalmologists (routine vision only) and Opticians. If you work in this specialty area, you’ll need to become credentialed and contracted with March Vision Care’s provider network, UnitedHealthcare Community Vision Network / March Vision Network. 

To start the process:

• Visit the Join Our Network page
• Complete all required fields and hit Submit

You must also enroll with the Indiana Health Coverage Programs (IHCP). If you haven’t already done so, complete your IHCP provider enrollment application.

• You’ll be registered in the March Vision Care system (if you’re not already)
  
• Your network participation request will be reviewed promptly and you will be notified within 5 business days notify you by phone or email if your request is incomplete and we need additional information.
• If you request is complete, a representative will contact you to start the credentialing and contracting process

If you have questions about the process or need assistance, please contact March Vision Provider Customer Service at 844-486-2724, Monday–Friday, 8 a.m. to 8 p.m. ET.

You can also use the inquiry form on the March Vision Contact Us webpage. Simply complete all required fields in the inquiry form and click Submit and a representative will respond to your request.

March Vision Care uses CAQH ProView to obtain primary source verification for credentialing. You can start the process at CAQH.org – either by updating an existing application or creating one (if you don’t have an existing application).

If you have questions on accessing the CAQH ProView database, call the CAQH Help Desk at 888-599-1771 for assistance. Credentialing is required for all providers.

Note: If your CAQH information is not current and attested the credentialing process cannot begin. 

During the credentialing process, March Vision Care will review your qualifications, practice history, certifications and registration to practice in a health care field. This includes:

• CAQH application release to Spectera Eyecare Networks (this is the predecessor name for March Vision)
• CAQH attestation within the last 3 months
• Certificate of insurance showing professional liability coverage (malpractice insurance).
• State license including Diagnostic Pharmaceutical Agent (DPA) license or Therapeutic Pharmaceutical Agent (TPA) license
• Copy of DEA and CDS (if applicable)
• Board certification (if applicable)
• Curriculum Vitae (CV), including work history (only needed for initial credentialing)
• Active Medicaid ID obtained through IHCP

Credentialing is required for all optometrists and ophthalmologists to participate in the UnitedHealthcare Community Vision Network / March Vision Network. Both credentialing and contracting must be completed prior to seeing UnitedHealthcare Hoosier Care Connect members. 

If you have questions about the credentialing process or need assistance, please contact March Vision Provider Customer Service at 844-486-2724, Monday–Friday, 8 a.m. to 8 p.m. ET.

You can also use the inquiry form on the March Vision Contact Us webpage. Simply complete all required fields in the inquiry form and click Submit and a representative will respond to your request.

Here’s what you can expect:

New health care professionals/groups – You will receive a participation agreement (contract) for UnitedHealthcare Community Vision Network / March Vision Network through a secure application called Adobe Sign. If they don’t have a valid email address, a representative will call you to obtain updated contact information.

Once your signed contract is received, they’ll countersign the contract and send you a copy, along with the date you can begin seeing Indiana Hoosier Care Connect members as a UnitedHealthcare Community Vision Network / March Vision Network provider (your effective date). 

• If your credentialing application has not been completed and approved prior to returning a signed contract, you will not receive a countersigned contract until credentialing is complete.
• For more details on how your effective date is determined, please review the “Network participation effective date” section on the previous page.
  

Existing contracted groups/facilities – If you’re joining an existing group that already has a contract with UnitedHealthcare Community Vision Network / March Vision Network, you will be added to the group contract once credentialing is approved. A new contract will not have to be issued.

If you have questions about the contracting process or need assistance, please contact March Vision Provider Customer Service at 844-486-2724, Monday–Friday, 8 a.m. to 8 p.m. ET.

You can also use the inquiry form on the March Vision Contact Us webpage. Simply complete all required fields in the inquiry form and click Submit and a representative will respond to your request.

In this process, the fully executed contract and provider demographics information are loaded into the March Vision Care claims system. You are also added to the provider directory. If there are any questions, March Vision Care will contact you within 5 business days.

Once the enrollment process is complete, you’ll receive a letter welcoming you to the UnitedHealthcare Community Vision Network / March Vision Network within 5 business days. It will contain your network participation effective date so you can begin seeing Hoosier Care Connect members. It will also contain your login credentials to EyeSynergy, our claims and order submission tool.

If you have questions process or need assistance, please contact March Vision Provider Customer Service at 844-486-2724, Monday–Friday, 8 a.m. to 8 p.m. ET.

You can also use the inquiry form on the March Vision Care Contact Us webpage. Simply complete all required fields in the inquiry form and click Submit. A March Vision Care representative will respond to your request.