Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with UnitedHealthcare Community Plan before sending sensitive documents. FaxFlow is not affiliated with this organization.

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UnitedHealthcare Community Plan fax number

(855) 770-7088

Providers

Used for: Submitting DMAS forms to UnitedHealthcare Community Plan for Medicaid-related processes, including DMAS-421A Hospice Enrollment/Disenrollment and related DMAS submissions.

Fax destination details

Department
Providers
Purpose
Submitting DMAS forms to UnitedHealthcare Community Plan for Medicaid-related processes, including DMAS-421A Hospice Enrollment/Disenrollment and related DMAS submissions.
Form
DMAS-421A Hospice Enrollment/Disenrollment Form — DMAS-421A Hospice Enrollment / Disenrollment Form
Voice phone
877-843-4366

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the DMAS-421A form per Virginia DMAS guidelines (demographic box, enrollment/disenrollment details, signatures) and submit via the UnitedHealthcare Community Plan fax line for processing.

Official form instructions are published as a downloadable file on the organization's website.

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