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If you become aware of any situation that may implicate Universal Healthcare MSO high ethical or legal standards, you must report the matter to Compliance Officer or your healthplan. The document below reviews the procedure to complete.
Members and physicians have the right to request Medical Group policies and procedures and criteria used to authorize, modify or deny healthcare to members. The document below reviews the overview of Utilization Management.
The Health Care Language Assistance Act requires insurers to establish and support language assistance programs for members with limited English proficiency. The document below reviews the language assistance overview.
Ensuring patients have appointments within appropriate time frames is a vital component of delivering quality care and service. Managed care plans must meet minimum performance levels (MPLs) established by the DHCS for managed care accountability set measures. The document below outlines the required access measures for clinical services.
Access Standards for Clinical Services
UHC IPA provider Portal User Guide_Eff._rv 12.14.22 (pdf)
DownloadReferral Prior Authorization Form_rv 12.2022 (pdf)
DownloadUniversal Healthcare IPA_General Authorization Information for Providers (as of 02/24/2025) (pdf)
DownloadUHC IPA Affirmative Statement (pdf)
DownloadHealth Net_Injectables_Update eff. 7.19.22 (pdf)
DownloadProvider Dispute Resolution Request Form (FILLABLE) (pdf)
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