Welcome UCare Providers

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, Practitioner Support Shared Decision-Making Aids and Clinical Practice Guidelines.

See the July 2021 Bulletin.

July 2021 Health Lines

Learn about Culture Care Connection is Revitalized with Timely Health and Racial Equity Content, Authorization and Notification Requirements Update: Adolescent Dialectical Behavior Therapy Intensive Outpatient Program (DBT IOP), Diabetes and Hypertension Management App for UCare Members, Covid-19 Information for Providers, Chloe Barnes Rare Disease Advisory Council of Minnesota, Over-the-Counter (OTC) Benefit Through Healthy Savings, High Quality Clinical Documentation, Member Rights and Responsibilities, UCare Provider News Delivered to Your Team, MDE and MDH Collaborate to Launch Help Me Connect Resource, Introducing UCare’s Instagram, Upcoming Holidays and more.

Read the July 2021 Health Lines.

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Updated Prior Authorization Criteria for Drugs on the IFP Formulary

Starting September 1, 2021, UCare is updating prior authorization criteria for eight drugs that are on the UCare Individual & Family Plans and UCare Individual & Family Plans with M Health Fairview formulary. 

See the July 7 Provider Bulletin for details.

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2021 Update to UCare's Provider Manual

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.

Go to the Provider Manual.

Authorization and Notification Requirements Update: Outpatient Substance Use Disorder Services 

Effective immediately, UCare will return to approving notifications for up to six months of services for outpatient subsstance use disorder (SUD) services for individual/group (H2035 or H2035HQ).

See the April 26 bulletin for details.

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Reminder: UCare Medicare Part D Vaccine Information

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.

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2021 Summer Camps Available for Young UCare Members

Providers who see young UCare members in Prepaid Medical Assistance Program (PMAP) and MinnesotaCare will have several summer camp opportunities they can share with the patients. UCare is teaming up with Wilderness Inquiry and One Heartland to offer the camps to eligible members at no cost. Additionally, the American Diabetes Association (ADA) offers a virtual summer camp at no cost.

Click here for camp details.

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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.