Important Admission Notification Reminders
Inpatient admission notification is an important function of working with UCare members. UCare has prepared reminders for admission notification requirements.
Please see the Aug. 6 Provider Bulletin for details.
UPDATE: Medicaid & CHIP Provider Relief Fund Application Deadline Extended
The U.S. Department of Health and Human Services (HHS) has extended the application deadline for the Provider Relief Fund to Friday, Aug. 28.
Read the UPDATED Bulletin.
Temporary Suspension of Medicare Claim Processing Edits
Effective for Medicare claims with 2020 dates of service, processed after July 21, 2020, UCare is temporarily suspending certain claims processing edits for claims submitted on behalf of members in the following products: UCare Medicare Plans, UCare Medicare with M Health Fairview & North Memorial, and EssentiaCare.
See the July 21 bulletin for details.
August 2020 Health Lines
Read about the UCare Provider Manual Update, Holiday Closure Hours, New Member ID Card Design Reminder, Documentation Improvement for Rheumatoid Arthritis, LivingWell Kid Kits, Member Rights and Responsibilities and the Provider Relief Fund Application Deadline Update.
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
.
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.
Q3 2020 Update to UCare's Provider Manual
UCare’s 2020 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.
Go to the
2020 Provider Manual
Previous
Next
Newsletter Sign up
Receive our monthly newsletter and bulletins with timely updates from UCare right to your inbox.
SIGN UP
Interested in Joining UCare's Network?
We’ll help you determine if you are eligible to join our network
and make sure you have everything you need to submit your application.
Resources for Care Managers
Find Care Coordination resources for all UCare products.
You can also find the training schedule and get contact information.
Give us a Call
Provider Assistance Center:
612-676-3300 or 1-888-531-1493
Hours: 8 a.m. to 5 p.m., Monday through Friday
Report Fraud, Waste and Abuse:
Send us a Fax or Email
Claims Attachments: 612-884-2261
Claims Adjustments: 612-884-2186
Prior Authorization Requests:
612-884-2499 or 1-866-610-7215
Rate Updates (CAH, RHC, FQHC): RateLetters@UCare.org
