MMOH.21.999.01.9.005 Provider and Pharmacy Directory 2021 UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) Geauga, Lake, Lorain, and Medina counties For more information, please contact Member Services at: Toll-free 1-877-542-9236, TTY 711 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week) www.UHCCommunityPlan.com www.myuhc.com/CommunityPlan H2531_001_000_PD_2021_NM 7/6/2021 MMOH.21.999.01.9.005 MMOH.21.999.01.9.005 Page 1 UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) 2021 PROVIDER AND PHARMACY DIRECTORY Introduction This Provider and Pharmacy Directory includes information about the provider and pharmacy types in UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) and listings of all the plan's providers and pharmacies as of the date of this Directory. The listings contain provider and pharmacy address and contact information as well as other details such as days and hours of operations, specialties, and skills. Key terms and their definitions appear in alphabetical order in the last chapter of the Member Handbook. Table of Contents A. Disclaimers ........................................................................................................................................ 3 B. Providers B1. Key Terms ................................................................................................................................. 4 B2. Primary Care Provider .............................................................................................................. 5 B3. Long-term services and supports (LTSS) providers .............................................................. 5 B4. How to identify providers in UnitedHealthcare Connected for MyCare Ohio 's network ... 6 B5. How to find UnitedHealthcare Connected for MyCare Ohio provider in your area ............. 7 B6. List of network providers .......................................................................................................... 8 C. Pharmacies C1. How to identify pharmacies in UnitedHealthcare Connected for MyCare Ohio's network 9 C2. Long-term supplies of prescriptions ..................................................................................... 10 D. UnitedHealthcare Connected for MyCare Ohio's network providers D1. Provider Type l National Vendors ......................................................................................................... 17 l State Preferred Providers............................................................................................ 24 l Primary Care Providers ............................................................................................... 26 l Specialists .................................................................................................................... 228 l Behavioral Health Providers ....................................................................................... 551 l Dental Providers .......................................................................................................... 703 l Vision Providers........................................................................................................... 730 l Certif ed Nurse Midwives............................................................................................ 755 l Certif ed Nurse Practitioners ...................................................................................... 761 l Long Term Services And Supports Providers........................................................... 790 l Obstetrics & Gynecology ............................................................................................ 793 l Pediatric Providers ...................................................................................................... 813 D2. Facility Type MMOH.21.999.01.9.005 l Hospitals....................................................................................................................... 833 l Urgent Care Centers ................................................................................................... 839 l Skilled Nursing Facilities............................................................................................. 840 l Ancillary Providers....................................................................................................... 844 l Behavioral Health Facilities......................................................................................... 856 l Federally Qualif ed Health Care Agency/Rural Health Clinic .................................. 876 l Home And Community Based Service Providers..................................................... 877 E. UnitedHealthcare Connected for MyCare Ohio's network pharmacies E1 Retail and chain pharmacies ............................................................................................ 881 F. Index F1 Providers ............................................................................................................................ 893 F2 Pharmacies ........................................................................................................................ 913 F3 Area of Expertise ............................................................................................................... 915 MMOH.21.999.01.9.005 MMOH.21.999.01.9.005 UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) Page 3 A. Disclaimers UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. · This Directory lists health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics), and support providers (such as Home Health providers) that you may see as a UnitedHealthcare Connected for MyCare Ohio Member. We also list the pharmacies that you may use to get your prescription drugs. · We will refer to these groups as ªnetwork providersº in this Directory. These providers signed a contract with us to provide you services. This is a list of UnitedHealthcare Connected for MyCare Ohio's network providers for Geauga, Lake, Lorain, and Medina counties. · ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call Member Services at 1-877-542-9236, TTY 711 from 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free. · ATENCIÓN: Si habla español, hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame a Servicio al Cliente al 1-877-542-9236, TTY 711, de 8 a.m. a 8 p.m., hora local, de lunes a viernes (correo de voz disponible las 24 horas del día, los 7 días de la semana). La llamada es gratuita. · You can get this document for free in other formats, such as large print, braille, or audio. Call 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free. · You can call Member Services and ask us to make a note in our system that you would like materials in alternative languages or formats now and in the future. · This list is up-to-date as of the date noted on the front cover, but you need to know that: · Some UnitedHealthcare Connected for MyCare Ohio network providers may have been added or removed from our network after this Directory was published. · Some UnitedHealthcare Connected for MyCare Ohio providers in our network may not be accepting new members. If you are having trouble finding a provider who will accept new members, call Member Services at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week) and we will help you. To get the most up-to-date information about UnitedHealthcare Connected for MyCare Ohio`s network providers in your area, visit www.UHCCommunityPlan.com or call Member Services at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free. Doctors and other health care professionals that are in UnitedHealthcare Connected for MyCare Ohio©s network are listed on the pages indicated on the Table of Contents following this introduction. You can use the Index in the back of the Directory to find the page where a provider or pharmacy is listed. If you have questions, please call UnitedHealthcare Connected for MyCare Ohio at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). If you need to speak to your care manager, please call 1-800-542-8630, 24 hours/7 days a week. These calls are free. For more information, visit www.UHCCommunityPlan.com. MMOH.21.999.01.9.005 Page 4 UnitedHealthcare Connected for MyCare Ohio B. Providers B1. Key terms A health care team may consist of the member, the member's family/caregiver and qualified professionals including the integrated care delivery system care manager, the waiver service coordinator, if appropriate, the primary care provider, specialists, and other providers, as applicable, designed to effectively meet the member's needs. Your health care team will provide care management services to you after your enrollment in the plan. Your health care team will work with you to promote your ability to live independently, and the team will work to coordinate your full set of Medicare and Medicaid benefits including