July 2020 Health Lines
Read about UCare Strategies for Preventive Care & Childhood Immunization, Dr. Bruce Cantor Joins UCare as Medical Director, UCare Extends Temporarily Changes to Post-Acute Care Authorization and Notification Requirements, Utilization Management Satisfaction Survey Coming in August, Ineligible Provider List Updated June 29, 2020, UCare to Roll Out A New Member ID Card Format, New Auth Forms reminder and Webite updates and more.
Notification Requirements Update: Adult Rehabilitative Mental Health Services (ARMHS)
Effective Aug. 1, 2020, UCare will require a notification requirement within 24 hours of intake for the several adult rehabilitative mental health services including basic living and social skills, environmental or community prevention intervention, and mental health assessment and mental health services plan development.
Read the July 1 Bulletin.
UCare to Roll Out New Member ID Card Design
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.
Read the June 15 Provider Bulletin.
FDA Recall of Certain Manufacturers of Metformin Extended-Release Tablets
On May 28, 2020, the Food and Drug Administration (FDA) announced they requested five drug manufacturers to voluntarily recall their Metformin Extended-Release (ER) products from the marketplace due to higher than acceptable levels of N-Nitrosodimethylamine (NDMA). Impacted manufacturers have submitted recall notices to the FDA.
Read the June 11 Provider Bulletin for details on which manufacturers are affected, what prescribers should do and how UCare is notifying impacted members.
Notification Requirements Update: Outpatient SUD Services
UCare has made some internal changes on how we are processing outpatient substance use disorder (SUD) services for individual/group (H2035), treatment coordination (T1016 U8 HN) and peer recovery support (H0038 U8) services.
Read the June 5th Provider Bulletin for details.
Pharmacy Access – Disruption Due to Protests
Access to certain pharmacies may be limited because of temporary closures or building disruptions. UCare has prepared information to answer questions you may have for your patients.
Read the Pharmacy Access Bulletin.
UCare Provides Individual & Family and Medicare Members COVID-19 Financial Relief
As COVID-19 continues to impact Minnesota’s safety, health and financial security, UCare is taking several actions to help make health care more accessible and affordable.
See the Provider Bulletin for more information.
Additional Billing Guidance for Medicare Certified Home Health Care Providers
In November 2019, UCare issued a Provider Bulletin requiring Medicare Certified Home Health Care providers to submit claims in accordance with CMS billing guidelines. A new bulletin has been issued to provide additional clarification.
Read the May 1 bulletin here
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Temporary Changes to Post-Acute Care Authorization & Notification Requirements
UCare is temporarily changing prior authorization and notification requirements for certain post-acute care services effective for dates of services April 20, 2020, to June 30, 2020, in response to COVID-19.
Read the April 20 Bulletin.
Critical Business Reminders
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.
See the July 30, 2019, Bulletin.
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