CORRECTION: Coding Changes for Adults and Children's MH Crisis Response Services for UCare SPP Products
The October Health Lines informed providers that effective Nov. 1, 2019, UCare will require the services previously submitted with HCPCS S9484 to be submitted using HCPCS code H2011. There was an error in the billing grid that was included in the article. Community intervention services should still be submitted using HCPCS code 90882.
We apologize for any inconvenience this error may have caused.
See the Oct. 7 bulletin for the corrected billing grid
.
October 2019 Health Lines
Read about Accurate Member Information, Release of Information, Medicare Nursing Home Claims Payments and Annual Wellness Visits, Transition to PDPM for SNF Claims, Coding Changes for Mental Health Crisis Response Services - Updated Oct 7, 2019, Documentation for Current and Historical Conditions, and the Ineligible Provider List Update.
Read the October Health Lines.
Partial Hospitalization Claims Update Being Implemented at Clearinghouse Level
Coming in October 2019, UCare will reject the entire claim at the clearinghouse when a State Public Program or Individual & Family Plans claim line with procedure code H0035 is submitted with more than one unit of service.
Read the Sept.19 bulletin
.
Inhaler Preferred Drug List Status Changes
Coverage for Advair Diskus and Ventolin HFA inhaler products on the UCare Minnesota State Health Care Programs formulary will change on Oct. 1, 2019. Proactive review of preferred alternative products, if appropriate, can be made prior to the effective date.
Provider FAQs – New UCare Claims System
UCare is implementing a new claims system platform over the next few years. To assist providers, we have prepared a list of frequently asked questions regarding the transition.
Click here to see the Apr. 2 FAQs
UCare to Suspend Authorizations in 2019 For UCare Individual & Family Plans
During 2019, UCare will temporarily suspend the requirement for prior authorizations for services delivered to members with UCare Individual & Family Plans and UCare Individual & Family Plans with Fairview.
See the full Provider 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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