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Families and Children Medical Assistance
MN Medical Assistance
UnitedHealthcare Community Plan of Minnesota is offering coverage for Families and Children Medical Assistance - also known as the Prepaid Medicaid Assistance Program (PMAP). This is a program that serves pregnant women and children, adults without children, low-income individuals, and families.
Please note that beginning Jan. 1, 2023, this play will also be offered in St. Louis county.
- Families and Children Medical Assistance
Find providers and coverage for this plan.
Find doctors, hospitals, behavioral health, and other specialists.
Find medications covered by this plan.
Find a pharmacy near you.
Find a vision center.
Find a dentist near you.
Benefits & features
Asthma and COPD Support
We can help you control your asthma or COPD.
If you need help getting the services or supplies you need, contact a Member Services Advocate. We can assist with the process of getting supplies or medications, make an appointment with your doctor, or connect you with a care manager for personal support.
Choice of Doctor
You will have a primary care provider (PCP) who will be your main doctor. Your PCP is the person you see for most of your care. This includes checkups, treatments, vaccinations, minor injuries, and health concerns. Talk to your PCP about any other concerns you may have. Your PCP can help you decide the right options for you.
Your PCP is your main doctor for:
- Preventive care like check-ups, cancer screenings and vaccinations
- Treatment if you are sick or injured
- Referrals to specialists for certain conditions
Use the Doctor Lookup Tool to see if your doctor is in our network. If you don’t have a doctor or if your doctor is not in our network, we can help you find a new one close to you. You can change your PCP at any time.
Customer Engagement Center
All UnitedHealthcare Community Plan members have access to a Member Services Advocate (MSA) to help you throughout your health care journey. A MSA can help:
- Understand the UnitedHealthcare Community Plan of Minnesota program
- Find a doctor, dentist, or eye doctor
- Explain your benefits and coverage
- Talk to you about special programs that are available to you
- Connect you with a Care Manager if needed
- Find resources located near you to help you with other problems like food, housing, transportation, employment, feeling safe or education
- Help you update your personal contact information like address, phone number or email
- Make sure we know how you would like to be contacted (email, phone, or mail)
- Resolve issues with providers, including specialty care and behavioral health
- Assist with challenges due to prior approval, payment for services, care delivery and family welfare
Diabetes Support
If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best. You are also rewarded with gift cards for taking simple steps to manage your diabetes.
Equipment and Supplies
Your health and safety at home are important.
Our plan covers medical equipment ordered by your doctor. This can include supplies like:
- Hospital beds
- Oxygen tanks
- Walkers or wheelchairs
Foot Care
Our podiatry coverage includes routine foot care.
If you have diabetes or a circulatory condition, good foot care can help prevent much more serious problems. We provide the needed exams to help keep your feet in great shape.
Foster Care Support
Foster care is a temporary service provided for children who can no longer remain in their own homes due to safety issues. We have programs to help support guardians and children in foster care.
UnitedHealthcare’s On My Way (OMW) is a tool designed to help young adults transition from foster care to adulthood and independence. This tool can be found in the member secure portal.
The OMW tool can connect transition-aged foster care youth with peer support staff and has modules that teach the following skills:
- Money management
- Securing housing
- Creating a resume
- Finding a job
- Applying for college
- Personal goal setting
- The platform also provides a vault for youth to store secure documents such as birth certificates and driver’s license information for their convenient access after transitioning from foster care to adulthood
Call Member Services to learn more about these and other foster care support programs.
Healthy First Steps®
Our Healthy First Steps program can help both you and your baby get the care you need and deserve. With Healthy First Steps, you’ll earn great rewards for completing checkups on time during and after your pregnancy. Join at UHCHealthyFirstSteps.com or contact Member Services to get started.
We can help you:
- Find a doctor for both mother and baby.
- Learn about nutrition, fitness, and safety.
- Find out what extra gifts you could be eligible for.
High School Equivalency (HSE)
It’s not too late to finish high school. UnitedHealthcare Community Plan can help you get your High School Equivalency (HSE). Any member age 16 or older can be part of this program.
Please contact a Member Services Advocate for more information.
Home-based Services
After surgery or a serious illness—or if you have a disability—you may need extra help with day-to-day tasks. With approval, and ordered by your doctor, our plan covers:
- Time-limited skilled nursing services
- Specialized therapies, including physical therapy, speech-language pathology, and occupational therapy
- Medical supplies
Hospitalization
This plan pays for all hospital expenses related to a hospital stay.
This plan pays for all expenses related to a hospital stay, so you can focus on resting and healing.
Our plan covers:
- Inpatient care
- Outpatient care
- Labs, X-rays and other tests
And after you leave the hospital, you are not alone. We are here to help you get any needed follow-up care to continue healing at home.
Individuals with Special Needs
We have many services that support individuals with special needs. We are here to make sure you have:
- A Member Services Advocate to be your personal guide and help you navigate the health care system
- Help to get all your needed services
- Support with social needs, such as housing, job opportunities and healthy food
- Help getting a ride to and from health care appointments
- Materials available in the formats you need
We also offer specialized dental care for our members with sensory issues. Please contact a Member Services Advocate to learn more.
Kidney Disease Care
Kidney disease is a serious medical condition. After the kidneys stop working, regular treatments, called renal dialysis or an organ transplant are needed to live. Dialysis uses a machine to clean the blood just like healthy kidneys do.
Our plan includes:
- Dialysis.
- Medications.
- Health education and support.
- Organ transplant if needed.
Lab & X-rays
Knowing what's wrong and finding it early can make all the difference. Our plan covers:
- Labs and testing.
- X-rays, scans, and other imaging.
We'll help you get the information needed to improve your health or be at your best.
Language Help
You and your doctor need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your appointments.
We also have Member Services Advocates who speak more than one language. Chances are, we have someone who speaks your language, or they can connect you with our interpreter service which covers more than 170 languages.
Lead Screening in Children
Lead poisoning is dangerous. If it is not treated in small children, it can cause long term problems. Lead can be found in:
- Paint
- Soil
- Dust
- Air
- Pottery
A special blood test is ordered by your doctor to check for lead poisoning. The test is usually given between the ages of 6 months and 2 years. If your child has not been tested, your doctor might want to test up to the age of 6 years. More testing may also be necessary if your child has tested positive for lead. For more information, contact a Member Services Advocate. You can also talk to your child’s doctor at their next well visit.
Medicines
Getting prescription medications is an important part of your health care. If your doctor prescribes a medicine that is listed on your plan’s List of Covered Drugs (LOCD), it is covered. If your drug is not listed on the LOCD, your care provider may request an alternative drug for you that is listed on the LOCD. UnitedHealthcare Community Plan covers medicines on this list, including certain over the counter medications, smoking cessation drugs, and diabetes supplies. The plan may pay for other medicines with prior approval
You can get your prescriptions filled at any pharmacy in our network. Many are available 24 hours a day, 7 days a week. For a list of pharmacies, use your provider directory or go to myuhc.com/CommunityPlan/MN.
If you have a problem getting your prescription during normal business hours, call Member Services. If you have a problem getting your prescriptions after normal business hours, on weekends, or holidays, have your pharmacist call the pharmacy help desk.
90-day supply benefit
Members can fill a 90-day supply of select maintenance medication at the retail pharmacy. Maintenance medications are typically those medications you take on a regular basis for a chronic or long-term condition.
With a 90-day supply, you won’t need to get a refill every month. To find out more details, talk to your doctor or pharmacist. For a complete list of medications included in this benefit, call Member Services at 1-888-269-5410 TTY 711.
Nurse Hotline
Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-800-718-9066, TTY 711.
Our nurses will:
- Listen to symptoms.
- Help with self-care.
- Advise you about getting care at a doctor visit or an urgent care center.
- Help you know when to go to the emergency room.
Phone Services
Do you need a mobile phone? You may qualify for free monthly wireless service. SafeLink is a program provided by TracFone Wireless. Visit www.safelinkwireless.com for more information.
A Member Services Advocate can also help you with the application.
Quit using Tobacco or Vaping Products
Quitting is hard, but we can help. Did you know that 20 minutes after you quit, your heart rate drops to a normal level? And within 24 hours after quitting the carbon monoxide level in your blood drops to normal.
Talk to your doctor about quitting. Or call 1-800-QUIT-NOW (1-800-784-8669) to get free coaching, counseling and supplies to help you quit. Quitting - Tobacco Prevention and Control - Minnesota Department of Health (state.mn.us)
Shots and Vaccines
Routine shots help protect you from illness.
Our plan covers:
- Shots and vaccines recommended by your PCP
- Flu shots
Therapy Services
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Your doctor can order therapy for you if it is needed. This includes:
- Occupational therapy
- Physical therapy
- Speech therapy
- In-home therapy
Well Visits
Well visits with your doctor can help you stay healthy. These visits can catch health problems early, so they can be treated. You should see your PCP every year for a well check, even if you aren’t sick or your symptoms are under control. Preventive services include:
- Checkups for adults and children.
- Well-baby care.
- Care for women expecting a baby.
- Routine shots and tests.
- Mammograms.
There is no copayment for preventive care.
Learn More
Minnesota Families and Children and Minnesota Care