THIS INDIANA STATE PROGRAM REGULATORY REQUIREMENTS APPENDIX (thisProvider Agreement • November 30th, 2023
Contract Type FiledNovember 30th, 2023The requirements of this Appendix apply to benefit plans sponsored, issued or administered by UnitedHealthcare Insurance Company or one of its Affiliates (referred to in this Appendix as “United”) under the State’s Medicaid program, CHIP program and, as applicable, benefit plans for other state-based healthcare programs for low-income individuals (the “State Program”) as governed by the State’s designated regulatory agencies. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event United is required to amend or supplement this Appendix as required by law or requested by the State to comply with federal or State regulations, United will unilaterally initiate such additions, deletions or modifications.
VIRGINIA STATE PROGRAM(S) REGULATORY REQUIREMENTS APPENDIX DOWNSTREAM PROVIDERProvider Agreement • October 3rd, 2023
Contract Type FiledOctober 3rd, 2023The requirements of this Appendix apply to Medicaid benefit plans sponsored, issued or administered by UnitedHealthcare Insurance Company, or one of its affiliates (referred to in this Appendix as “United”) under the Commonwealth of Virginia’s Medicaid and CHIP Programs, including the Commonwealth Coordinated Care Plus Program (CCCP) and Medallion 4.0 Medicaid and Family Access to Medical Insurance Security (FAMIS) Program (the “State Program”) as governed by the State’s designated regulatory agencies. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event United is required to amend or supplement this Appendix as required or requested by the State to comply with federal or State regulations, United will unilaterally initiate such additions, deletions or modifications.
THIS OKLAHOMA STATE PROGRAM REGULATORY REQUIREMENTSProvider Agreement • January 26th, 2023
Contract Type FiledJanuary 26th, 2023The requirements of this Appendix apply to State Program benefit plans sponsored, issued or administered by UnitedHealthcare of Oklahoma, Inc. (referred to in this Appendix as “United”) under the Oklahoma SoonerCare program (the “State Program”) as governed by the State’s designated regulatory agencies. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event United is required to amend or supplement this Appendix as required or requested by the State to comply with federal or State regulations, United will unilaterally initiate such additions, deletions or modifications.
THIS MISSOURI STATE PROGRAM(S) REGULATORY REQUIREMENTSProvider Agreement • June 3rd, 2019
Contract Type FiledJune 3rd, 2019The requirements of this Appendix apply to Medicaid and CHIP benefit plans sponsored, issued or administered by UnitedHealthcare of the Midwest, Inc. (referred to in this Appendix as “United”) under the State of Missouri’s Medicaid and/or CHIP program (the “State Program”) as governed by the State’s designated regulatory agencies. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event United is required to amend or supplement this Appendix as required or requested by the State, Provider agrees that United shall be permitted to unilaterally initiate such additions, deletions or modifications.