Additional Claims Payment Run Added for Holiday Week
UCare will add back the second claims payment run the week of Memorial Day for Individual and Family Plans and Medicare Plans. Usually during the week of a holiday, there is only one payment run. For the week of May 25-29, remit payments will occur Wednesday and Friday for the specified plans. UCare will send remits up to three business days after payment is made on a claim. Claim status and remits can be accessed via UCare’s Provider Portal.
Coronavirus (COVID-19) Information for Providers
UCare is committed to protect our members and the community from the spread of coronavirus (COVID-19). The COVID-19 situation is changing quickly, and we are monitoring changes closely. To assist our provider partners in navigating this changing situation, UCare has created a COVID-19 Information for Health Care Providers page on our Provider Website.
Go to the COVID-19 web page.
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
.
Q2 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. UCare has prepared a Provider Bulletin outlining the key updates.
Go to the
2020 Provider Manual
May 2020 Health Lines
COVID-19 Information for Providers, Provider Manual Q2 Update, Market Withdrawal Alert – Ranitidine (Zantac) Products, PAC Holiday Closure, ARMHS Services, Ineligible Provider List Update, Documentation Improvement for COVID-19, UCare Connect (SNBC) expands June 1, 2020, and more.
Market Withdrawal Alert – Ranitidine (Zantac) Products
The FDA requested a market withdrawal of all remaining OTC and prescription ranitidine drugs due to an impurity detected in the products.
Read the
Market Withdrawal bulletin
for additional information.
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.
REVISED - UCare Pharmacy COVID-19 Updates
UCare’s Pharmacy Department has been closely monitoring the COVID-19 developments and taking appropriate action to ensure our members have access to medication.
Read the revised 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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Rate Updates (CAH, RHC, FQHC): RateLetters@UCare.org
