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 August 2020 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.
UCare Introduces New Medicare Supplement Plans
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.
Medication Therapy Management (MTM) Program Update
On Jan. 1, 2021, UCare will introduce new changes to its Medicare Medication Therapy Management (MTM) Program. No changes have been made to the MTM program for Medicaid or Individual and Family Plans (IFP). The MTM Program is a free service for eligible UCare members to optimize their medication therapy and experience.
Change in Frequency for Outpatient Hospital Fee Schedule Updates
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.
Changes to the Payment and Remittance Selection Process
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.
New Medicare Products to Offer Supplemental Coverage for Nebulizer and Pulse Oximeters
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.
2021 Code and Editing Updates
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.
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January 2021 Health Lines
Learn about the MH-SUD Access Line, Inpatient Hospital Readmission Payment Policy, new UCare Coverage Policies, Face-To-Face Interpreting requirement, UCare Foundation distributions, new resource for Youth with Disabilities, Maintenance of Medical Records and more.
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New Prior Authorization Requirement for Victoza and Nubeqa
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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