Provider Directory Directorio De Proveedores

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Provider Directory Directorio De Proveedores CSKS.15.999.07.9.004 Kansas Provider Directory Directorio de proveedores West / Oeste Member Services / Servicios para Miembros 1-877-542-9238, TTY 711 CSKS18MC4250783_006 8/3/2021 CSKS.15.999.07.9.004 Welcome to UnitedHealthcare Community Plan We care about you and your family's health This book helps you ®nd providers in your area who work with UnitedHealthcare Community Plan or KanCare. The most current list is on our website at UHCCommunityPlan.com. If you need help ®nding a doctor, call Member Services at 1-877-542-9238, TTY 711. We©ll be happy to help you. If you have an emergency, call 911 or go to an emergency room. Member Services 1-877-542-9238, TTY 711 8 a.m. ± 6 p.m., Monday ± Friday Our office is closed on these major holidays: New Year©s Day (observed) Labor Day Martin Luther King Jr. Day Thanksgiving Day Memorial Day Day after Thanksgiving Independence Day Christmas Day (observed) UnitedHealthcare Community Plan is a health plan with KanCare. We work with providers to coordinate your health care. Your health care will be from doctors in our network. If your primary care physician (PCP) says you need services outside of our network, s/he can call us. Refer to your member handbook if you need help. UnitedHealthcare does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, national origin, veteran status, ancestry, health status or need for care. We©re glad you are a member of UnitedHealthcare Community Plan! Providers in this directory are current as of the date on the cover. The information is subject to change. UHCCommunityPlan.com CSKS.15.999.07.9.004 How to use this Directory Choosing a Primary Care Physician (PCP) for you and your family is easy There are several types of PCPs listed here. Primary Care Physicians Family Medicine: Adults and children Pediatrics: Children Internal Medicine: Adults General Practice: Adults and children OB/GYN: (who speci®cally request Adult women to act as a PCP) Physician©s Assistants: Adults and children Nurse Practitioners: Adults and children Geriatrics: Adults Clinics: (to include IHS, FQHC, RHC) Adults and children To ®nd a provider, ®nd your county in the table of contents. The providers are listed by their specialty. When you ®nd the specialty you want, go to the page listed. Then you can pick the provider who meets your needs. Members may get care from a resident doctor or a nurse practitioner if supervised by a PCP. If there is no chapter in the Table of Contents for the type of provider you want, look in the chapter for Ancillary Providers. Providers that do not have speci®c chapters are listed there. Sample listings are on the next page. Nursing Facilities Kansas Medicaid members residing in a Nursing Facility: You may stay in your current nursing home no matter which KanCare plan we picked or you choose. UHCCommunityPlan.com CSKS.15.999.07.9.004 Description of listings Sample provider listing Provider Listing Provider name John Smith, MD Provider address 123 Main Street Health Valley, KS 54321 Provider phone number 222-222-2222 Board certi®cation Y Languages Spanish Limitations Closed Panel Board Certi®cation shows a doctor©s specialty. It requires testing in the speci®c area of medicine. A specialist has continuing education on the latest advances in his or her specialty. You can check the provider©s certi®cations on the American Board of Medical Specialists (ABMS) website. Go to www.abms.org. Click on ªIs Your Doctor Certi®ed?º Languages other than English the provider speaks. Limitations of the practice. An example is Closed Panel. (This means they do not take new patients.) Wheelchair shows they have wheelchair access. Note: Any of these numbers after the Provider©s ZIP code means they also provide services under these waiver programs: 1 ± Brain Injury (BI) 2 ± Technology Assisted (TA) 3 ± Serious Emotional Disturbance (SED) 4 ± Autism (AUT) 5 ± Frail Elderly (FE) 6 ± Physical Disability (PD) 7 ± Intellectual/Developmental Disability (I/DD) UHCCommunityPlan.com CSKS.15.999.07.9.004 For IDD Waiver Services, please check with your regional CDDO to verify which providers are affiliated with CDDO in your area for the following specialties: Day Support, IDD Targeted Case Management, Residential Support, Respite Care ± Overnight ± Minor, Sleep Cycle Support ± IDD, Specialized Medical Care ± LPN, Specialized Medical Care ± RN, Supported Employment Services, Supportive Home Care, Financial Management Services, Medical Alert Rental, Personal Care Services, Wellness Monitoring. Sample hospital listing Hospital Listing Hospital name GoodCare Hospital Hospital address 123 Main Street Health Valley, KS 54321 Hospital phone number 222-222-2222 All of the information here comes from the provider©s application. UnitedHealthcare checks this when they join our network. We check it again every three years (or sooner). UHCCommunityPlan.com CSKS.15.999.07.9.004 Bienvenido a UnitedHealthcare Community Plan Nosotros estamos interesados en la salud de usted y de su familia Este directorio le ayuda a encontrar a los proveedores en su área que trabajan con UnitedHealthcare Community Plan o KanCare. La lista actualizada se encuentra en nuestro sitio en la red en UHCCommunityPlan.com. Si usted necesita ayuda para encontrar a un doctor, llame al Servicios para Miembros al 1-877-542-9238, TTY 711. Nos dará mucho gusto poder ayudarle. Si tiene una emergencia, llame al 911 o acuda a una sala de emergencias. Servicios para Miembros 1-877-542-9238, TTY 711 8 a.m. a 6 p.m., de lunes a viernes Nuestra o®cina está cerrada en estos días feriados importantes: Día de Año Nuevo (observado) Día del Trabajo Día de Martin Luther King Jr. Día de Acción de Gracias Día de los Caídos (Memorial Day) Día después de Acción de Gracias Día de la Independencia Navidad (observado) UnitedHealthcare Community Plan es un plan de salud con KanCare. Nosotros trabajamos con proveedores para coordinar sus cuidados de salud. Sus cuidados de salud serán llevadas a cabo por médicos en nuestra red. Si su médico de cabecera (PCP) dice que usted necesita servicios fuera de nuestra red, él o ella pueden llamarnos. Consulte con su manual de miembro si necesita ayuda. UnitedHealthcare no discrimina por motivos de raza, color, religión, sexo, orientación sexual, edad, discapacidad, origen nacional, condición de veterano, ascendencia, estado de salud o necesidad de atención. ¡Nos alegra que sea miembro de UnitedHealthcare Community Plan! Los proveedores en este directorio se encuentran al corriente hasta la fecha en la portada. Esta información está sujeta a cambios. UHCCommunityPlan.com CSKS.15.999.07.9.004 Cómo usar este directorio Es fácil escoger a un Doctor de Atención Primaria (PCP) para usted y para su familia Hay varios tipos de PCP anotados aquí. Doctores de Atención Primaria Medicina Familiar: Adultos y niños Pediatras: Niños Medicina Interna: Adultos Medicina General: Adultos y niños OB/GYN: (si solicitan especí®camente Mujeres adultas actuar como PCP) Asistentes de Doctor: Adultos y niños Enfermeras Practicantes: Adultos y niños Geriatría: Adultos Clínicas: (incluyendo IHS, FQHC y RHC) Adultos y niños Para encontrar a un proveedor, busque su condado en el índice. Los proveedores se anotan de acuerdo a su especialidad. Cuando encuentre a la especialidad que quiere, pase a la página indicada. Ahí usted podrá escoger al proveedor que puede satisfacer sus necesidades. Los miembros pueden recibir atención por parte de médicos residentes o de enfermeras practicantes bajo la supervisión de un PCP. Si no hay un capítulo en la Tabla de Contenido para el tipo de proveedor que usted necesita, busque en el capítulo de Proveedores Auxiliares. Los proveedores que no tienen capítulos especí®cos se encuentran anotados ahí. En la siguiente página se anotan ejemplos de los listados. Casas de reposo Los miembros de Kansas Medicaid que viven en una casa de reposo: Usted puede permanecer en su actual casa de reposo sin importar cual plan de KanCare sea él que nosotros o usted escojamos. UHCCommunityPlan.com CSKS.15.999.07.9.004 Descripción de las listas Ejemplo de listado de proveedores Listado de Proveedores Nombre del proveedor John Smith, MD Dirección del proveedor 123 Main Street Health Valley, KS 54321 Teléfono del proveedor 222-222-2222 Certi®cación Sí Idiomas Español Limitaciones Panel cerrado Un Consejo Directivo de Certi®cación muestra la especialidad del médico. Requiere la aprobación de exámenes en una rama de la medicina. Un especialista participa en educación continua para aprender acerca de los últimos avances en su área de interés. Usted puede constatar las certi®caciones del proveedor en el sitio en la red del Consejo Directivo Americano de Especialistas en Medicina (American Board of Medical Specialists ± ABMS). Vea www.abms.org. Pulse en ªIs Your Doctor Certi®ed?º Otros idiomas además del inglés que hable el proveedor. Limitaciones de la práctica. Por ejemplo, un Panel cerrado. (Esto signi®ca que no se aceptan nuevos pacientes.) Una Silla de ruedas indica que ofrecen acceso para sillas de ruedas. Nota: Cualquiera de estos números después del nombre del proveedor indica que ellos también ofrecen servicios bajo estos programas de exenciones: 1 ± Lesiones al cerebro (BI) 2 ± Tecnología Asistida (TA) 3 ± Graves Disturbios Emocionales (SED) 4 ± Autismo (AUT) 5 ± Personas de Mayor Edad Frágiles (FE) 6 ± Discapacidades Físicas (PD) 7 ± Discapacidad de Desarrollo/Mental (I/DD) UHCCommunityPlan.com CSKS.15.999.07.9.004 Para los servicios del Programa de Exención para discapacidades intelectuales
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