UCare’s 2021 Provider Manual contains critical information that providers need to know to effectively work with UCare and our members. It is important that providers reference the online manual regularly for up-to-date content. The Provider Manual has been updated to reflect current business practices.
Read the Provider Bulletin.
Go to the Provider Manual.
Starting April 1, 2021, UCare is updating prior authorization criteria for 14 drugs that are on the UCare Individual & Family Plans and UCare Individual & Family Plans with M Health Fairview formulary.
See the Feb. 15 bulletin for details.
Learn about the COVID-19 Information for Providers, Email Address Updated for Reporting Mental Health and Substance Use Disorders, UCare Policies & Resources Webpage Revised, Accurate Member Information, Clinical Practice Guideline Approval, Important Update for the 2021 UCare MSHO Incentive Program and more.
Starting Jan. 1, 2021, UCare began denying claims for providers administering Part D vaccines in their clinics. Provider will need to bill both the vaccine and administration through the member’s Part D benefit.
See the Feb. 4 bulletin for details.
We are currently working on a solution. If you have alternatives to faxing, please use those at this time. For providers requesting a prior authorization or reporting an inpatient/outpatient notification, you must submit your request using alternate methods.
UCare informs providers of critical business reminders for the Credentialing and Recredentialing Process, Pharmacy, Complex Case Management Process, Utilization Management Information, Member Rights and Responsibilities, Shared Decision Making and Clinical Practice Guidelines.
Beginning Aug. 1, 2020, UCare will introduce a new member ID card design for all products that will be issued for members who join UCare or seek a replacement ID card during the remainder of this year.
UCare is introducing new Medicare Supplement Plans that Medicare-eligible individuals throughout Minnesota may select. The earliest effective date Medicare-eligibles can enroll in one of the UCare Medicare Supplement plans is Nov. 1, 2020. Members in the plans may seek care from any provider who accepts Medicare patients.
Read the October 8 Bulletin for more information.
Jan. 1, 2021, the UCare MHCP Outpatient Fee Schedule will be updated twice per year (January and July MHCP files). The fee schedule was previously updated on an annual basis.
See the Dec.15 Provider Bulletin for details.
Effective immediately, UCare is changing the process to request updates to the provider’s payment and remittance selections.
Read the Dec. 18 bulletin for additional details on the changes.
Effective Jan. 1, 2021, two of UCare’s new Medicare products, UCare Advocate Choice and UCare Advocate Plus, will include supplemental coverage for nebulizer and pulse oximeters for members with COPD or Congestive Heart Failure.
See the Dec. 22 bulletin for more information and billing codes.
New codes have been identified for 2021 and will be accepted into the UCare system as of the effective dates but are subject to the editing update and implementation dates.
See the Dec. 29 bulletin for details.
Starting March 1, 2021, UCare is adding a prior authorization requirement for Victoza and Nubeqa for members on UCare Individual & Family Plans and UCare Individual & Family Plans with M Health Fairview.
See the Jan 15, 2021 Provider Bulletin for details.
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