Provider Assistance Center (PAC) Holiday Hours
UCare and the Provider Assistance Center (PAC) team will be closed, Monday, 05/24/2019, for Memorial Day. We will open up at 8:00 a.m.
Planned Portal Outage
UCare’s Provider Portal and online forms will be unavailable from 8 p.m., Friday, May 24 through 8 a.m., Sunday, May 26 as we perform system maintenance. We apologize for any inconvenience.
UCare to Introduce Online Submission of Claim Reconsideration Requests for Adjustments/Appeals and Recoupments
On May 20, 2019, UCare will introduce online submission of the Provider Claim Reconsideration Form. Online submission offers many benefits to providers, including notification of request receipt, reduction in clerical paperwork and staff-time to submit, follow-up and track, lower paper and postage costs, and quicker overall processing time.
Read the May 15 Bulletin
UCare Provider Manual Q2 2019 Update
UCare updated its Provider Manual at the end of April. You will find additions and updates were made to the following chapters: Provider Responsibilities; Provider Credentialing; Claims & Payment for Provider Exclusions, Member Liability, UCare Claims Edits, UCare Pricing Edits and Telemedicine; Health Promotion Programs; and Behavioral Health.
Go to the Q2 Provider Manual
May 2019 edition of the Health Lines Provider Newsletter
Learn about UCare Provider Manual Q2 Update, Ineligible Provider List, Provider FAQ: New Claims System April Update, MHCP Drug List Changes, Accurate Member Information, Documentation Improvement for Aortic Aneurysm, UCare & Healt Fair 11 Bike Safety Event, and more.
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See the May Health Lines
Medicaid Nutritional Supplement Benefit Change
Starting April 1, 2019, nutritional supplements such as Boost and Ensure will no longer be covered under the pharmacy benefit for UCare Medicaid members; however, they may be covered under the medical benefit through a Durable Medical Equipment (DME) provider.
Read the full bulletin.
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.
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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:
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Claims Attachments: 612-884-2261
Claims Adjustments: 612-884-2186
Prior Authorization Requests:
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Rate updates (CAH, RHC, FQHC): RateLetters@UCare.org
