Note: A provider can be an "approved provider type"  but not be in the UMP network. To find network providers, see the online UMP Provider Directory.

UMP pays for covered services only when performed by an approved provider type. All UMP network providers are approved provider types. If you see a non-network provider that is not one of the approved provider types listed below, UMP will not pay for any of the services received. See also the list of approved provider types for mental health services.

To ensure UMP will cover a claim, the provider must:

• Be of a type or specialty listed in this section.
• Have a current license, registration, or certificate to deliver services at his or her location.
• Perform only services within the provider's scope of practice, as defined by the licensing agency.
• Provide services within UMP's benefit limits.
• Comply with UMP billing practices.

Approved provider types include:

• Acupuncturists, licensed (LAc).
• Alcohol/Chemical Dependency Centers and Substance Abuse Treatment Facilities, licensed with Department of Social and Health Services (DSHS) certification (must be approved by UMP); non-PhD psychologists and mental health counselors employed by these facilities are covered only when delivering services within an approved substance abuse facility and the facility bills for their services.
• Ambulances, licensed ground or air service.
• Ambulatory Surgery Centers (ASC), licensed (Medicare-certified or accredited by the Joint Commission on Accreditation of Healthcare Organizations or other recognized national accreditation).
• Audiologists, certified.
• Biofeedback technicians, certified (covered only when employed by and delivering services within a hospital or other UMP-approved facility and the employing organization bills for their services).
• Birthing centers, licensed.
• Chiropractors, licensed (Doctors of Chiropractic [DC]).
• Community mental health agencies, licensed; non-PhD psychologists and counselors employed by these agencies are covered only when employed by and delivering services within a licensed community mental health agency and the agency bills for their services.
• Counselors, licensed, including Licensed Marriage and Family Therapists (LMFT), Licensed Masters of Social Work (LMSW), and Licensed Mental Health Counselors (LMHC) (see "Limitations on Some Provider Types" under the Mental Health benefit).
• Dentists, licensed (Doctors of Dental Medicine [DMD] and Doctors of Dental Surgery or Dental Science [DDS]) (UMP does not cover most dental services. See "Dental Services" and "What UMP Doesn't Cover" for limits on dental services covered).
• Diabetes education programs (including Medical Nutrition Therapy), Medicare-approved or otherwise approved by UMP.
• Dieticians providing services as part of an approved diabetes education program (see above).
• Durable medical equipment (DME) and prosthetics suppliers.
• Free & Clear tobacco cessation program.
• Genetic counselors (must be certified).
• Hearing aid fitters and dispensers, licensed.
• Home health aides, licensed (covered only when employed by and delivering services within a hospice or home health agency and that agency bills for their services).
• Home health agencies, licensed (Medicare-certified or accredited by the Joint Commission on Accreditation of Healthcare Organizations).
• Hospice agencies, licensed (Medicare-certified or accredited by the Joint Commission on Accreditation of Healthcare Organizations).
• Hospitals, licensed.
• Massage practitioners, licensed (LMP); only massage practitioners in the UMP provider network are considered approved providers.
• Medical nutrition therapists (MNT), Medicare-approved or approved by UMP to assist in the treatment of cystic fibrosis, diabetes (see diabetes education programs), chronic renal insufficiency, end-stage renal disease when dialysis is not received, or medical conditions up to 36 months after kidney transplant. MNTs are covered only when employed by and delivering services within a hospital or other UMP-approved facility and the employing organization bills for their services.
• Midwives, licensed (LM).
• Naturopaths, licensed (Naturopathic Doctors [ND]).
• Nurses (all types must be licensed) as listed below:
  • Advanced Registered Nurse Practitioners (ARNP)
  • Certified Nurse Midwives (CNM)
  • Licensed Practical Nurses (LPN)*
  • Registered Nurses (RN)*; UMP does not cover RNs to assist at surgery, unless they are credentialed as a Certified Registered Nurse First Assistant (CRNFA).
  • Registered Nurse First Assistants, certified; CRNFAs are covered only when providing services under the supervision of a physician and the physician or physician clinic/group bills for their services.

    * Covered only when employed by and delivering services within a hospital, skilled nursing facility, hospice, or home health agency, or under the direction of a physician or ARNP and the organization or clinician bills for their services.

• Occupational therapists, licensed (OT).
• Optometrists, licensed (Doctors of Optometry [OD]). Note: You do not have to purchase your prescription eyeglasses or contact lenses from an optometrist. UMP covers vision hardware no matter where you buy it.
• Pharmacists, licensed and registered (RPh).
• Pharmacies, licensed.
• Physical therapists, registered and licensed (RPT).
• Physicians, licensed (Doctors of Medicine [MD], or Doctors of Osteopathic Medicine [DO]).
• Physician Assistants, licensed (PA) are covered only when providing services under the supervision of a physician and the physician or physician clinic/group bills for their services.
• Podiatrists, licensed (Doctors of Podiatric Medicine [DPM]).
• Psychologists, licensed (PhD).
• Respiratory therapists, licensed (covered only when employed by and delivering services within a hospital, skilled nursing facility, hospice, or home health agency, or under the direction of a physician or ARNP and the employing organization or clinician bills for their services).
• Skilled nursing facilities, licensed (Medicare-certified).
• Speech pathologists, licensed, and only if certified by the American Speech, Language and Hearing Association.