Effective Jan. 1, 2018, UnitedHealthcare Community Plan began serving eligible members in a new Dual Special Needs Plan (DSNP) — “UnitedHealthcare Dual Complete Medicare Advantage” — throughout the state of North Carolina.
This is a Medicare Advantage plan for members who qualify for both Medicare and Medicaid. DSNPs are a specialized type of Medicare Advantage Prescription Drug Plan (MAPD) and must follow existing Centers for Medicare & Medicaid Services (CMS) rules. DSNPs must:
- Adhere to required MAPD benefits
- Limit enrollment to Medicaid recipients (dually eligible –Medicare and Medicaid),
- Provide Part D benefits, and Offer targeted clinical programs, benefits, and services.
For more details about the program, please visit Link > UnitedHealthcare Community Plan application > For Health Care Providers > North Carolina > Dual Complete Medicare Advantage Program.
If you don’t have an OneHealthcare ID, go to UHCProvider.com and select “New User” to begin registration. To learn more about using our UnitedHealthcare Provider Portal, please visit UHCprovider.com.
For more information about this program, please contact your network account manager or advocate.
