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Frequently Asked Questions

Here are some of the most frequently asked questions (FAQ) about UnitedHealthcare Community & State. Below them you'll find links to FAQ pages about public sector health care in general, and Medicaid, Medicare and CHIP programs in particular.

 

In what parts of the United States do you have plans?

We operate health plans in 24 states (Arizona, Connecticut, Delaware, Florida, Hawaii, Iowa, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Nebraska, Nevada, New Jersey, New Mexico, New York, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Wisconsin), and the District of Columbia. We also offer an Administrative Services Organization (ASO) or a Management Services Organization (MSO) in California.

What products do you offer?

  • Medicaid - Low-income Americans, primarily children and women of child-bearing age, adults in families with dependent children, individuals with disabilities and the elderly.
  • Temporary Assistance to Needy Families (TANF) – Primarily young women and children, programs for families and children focus on high-prevalence and debilitating chronic illnesses such as hypertension and cardiovascular disease, asthma, sickle cell disease, diabetes, HIV/AIDS and high-risk pregnancies.
  • Children's Health Insurance Programs (CHIP) – Children not covered by commercial insurance and not eligible for Medicaid.
  • Long-Term Care / Aged, Blind & Disabled (ABD) –Medicaid programs for the long-term care population including nursing home costs and other long-term care programs
  • Medicare - Focus on dual eligible individuals who are eligible for both Medicaid on the basis of income and Medicare on the basis of age or disability
  • Childless Adults & Programs for the Uninsured – Programs developed by states with state or federal funds for adults and families not covered by commercial insurance and not eligible for Medicaid or Medicare
  • Management Services Organization (MSO) – Disease management and other health care services for individuals with chronic conditions
  • Administrative Services Organization (ASO) – Coordination of services for high-risk populations; helping states manage costs, but not assuming medical and financial risk for the covered population
  • Special Needs Plans (SNP) – Services for those with multiple chronic conditions, limited incomes and living in nursing facilities, Dual SNPs are individuals enrolled in both Medicare and Medicaid

How many members do you have?

We serve 3.3 million people, 2.0 million of whom are children.

How big is your network?

Over 1,400 hospitals and 193,000 providers