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February 13, 2023
Dear MSHP IPA Member,
In November, we informed you that Mount Sinai has made the difficult decision to end our participation with UnitedHealthcare (United) Community Plan products in 2023. Today, we are writing to update you on the timing of our exit from United’s Medicaid, Child Health Plus, and Essential Plans.
We are reaching out to you as a courtesy since the Mount Sinai Health Partners IPA does not contract with United’s Community Plan products. However, as a community-based provider affiliated with Mount Sinai, you may be wondering whether or how this may affect any direct contract your practice may have with United for the affected Community Plan products.
Key information you need to know
If you provide care to patients who use these plans, here is what you need to know:
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Tuesday, February 28: Mount Sinai’s hospitals and hospital-based clinics will accept United’s Medicaid, Child Health Plus, and Essential Plans through February 28. This is extended two months from the previously announced exit date of December 31.
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Wednesday, March 1: Mount Sinai’s hospitals and hospital-affiliated clinics will not participate with United’s Medicaid, Child Health Plus, and Essential Plans starting March 1. View this list of locations that will be out-of-network for United’s Community Plan members.
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As a reminder, all Mount Sinai Health System hospitals and hospital-based clinics stopped participating with United’s Dual Complete Plan (Medicare + Medicaid) health insurance as of Sunday, January 1.
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Saturday, April 1: all of Mount Sinai’s physicians and other medical providers will be out-of-network with all four of United’s Community Plans—Dual Complete, Medicaid, Child Health Plus, and Essential Plans.
- Patients covered by other United plans are not affected, nor is our own employee plan. This means that providers can continue to treat patients in all non-Community-Plan United products, including:
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Commercial products (United and Oxford)
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Medicare products (AARP Medicare Advantage, AARP Medicare Supplement, and United Medicare Advantage)
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Patients covered by Mount Sinai’s employee plan administered by UMR
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If you have a direct contract with United for their Community Plan products and you only have hospital privileges at Mount Sinai, United may contact you with a deadline by which you would need to establish privileges at a hospital that is in United’s Community Plan network.
For questions, please contact us at mshp@mountsinai.org or 877-234-6667.
You can also check mountsinai.org/united for updates.
Sincerely,
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