Welcome to the UnitedHealthcare Community Plan of Tennessee behavioral health page. You can easily find the information you need using the following categories. To find non-behavioral health resources, please refer to the left-side menu.
The forms are manual and should be submitted for processing as follows:
Forms:
My Practice Profile
Use the My Practice Profile tool to make demographic changes, update and attest to your provider demographic information.
UnitedHealthcare Community Plan currently using the following Level of Care Guidelines (LOCGs) to conduct medical necessity reviews of requests for services as they apply to available behavioral health benefits.
ASAM 3rd Edition criteria are currently utilized for all substance abuse services. ASAM criteria are proprietary and cannot be given to providers or members unless a denial of service(s) is rendered, at which time a copy of the criteria in question can be obtained upon request.
Providers wishing to access these criteria independently may purchase them through the ASAM American Society of Addiction Medicine (American Society of Addiction Medicine-Patient Placement Criteria, 3rd Edition).