State Public Programs &
 Special Needs Plans

 

Minnesota Senior Care Plus (MSC+) | MinnesotaCare (MnCare) | Prepaid Medical Assistance Program (PMAP) | UCare Connect (SNBC) |
Minnesota Senior Health Options (MSHO) | UCare Connect + Medicare 
 
 

Forms & Information

For SNF Medically Necessary Private Room Requests, UCare will accept either the DHS Private Room Request Form found in the DHS Nursing Home portal or the necessary details added to the Nursing Home/Swing Bed Admission/Update Form.
 
 
​Nursing Facility (NF) Communication Form ​for MSHO, MSC+, UCare Connect and UCare Connect + Medicare health plans.
UCare has partnered with Magellan to manage the utilization and quality of its members’ outpatient and in-home rehabilitative and habilitative therapy services. You must register to access functionality that will help you with your UCare Therapy Authorizations.
 
Direct all authorization questions to Magellan Healthcare:
Phone (local): 952-225-5700 
Phone (toll free): 1-888-660-4705 
Fax: 1-888-656-1952

This form is intended to communicate patient referrals between medical and behavioral health providers.

Universal Referral Form

Authorization Contact Information

 

UCare Clinical Services

Phone (local): 612-676-6705
Phone (toll free): 1-877-447-4384
Fax: 612-884-2499

Magellan HealthCare: Therapy - PT, OT, ST

Phone (local): 952-225-5700
Phone (toll free): 1-888-660-4705

Fax: 1-888-656-1952

Fairview Partners:*

Phone (local): 952-914-1720
Fax: 952-914-1705
 
*For MSHO and MSC+ members only.
Medical card icon

Check Authorization Status

Login to check the status of an 
authorization request.

LOG IN

 

 

*UCare Medicare Plans include Aware, Classic, Complete, Essentials Rx, Prime, Standard, Value and Value Plus, 
Advocate Choice, Advocate Choice Plus and UCare Medicare Supplement.
UCare Individual & Family Plans include Core, Bronze, Bronze HSA, Silver, Silver HSA and Gold; and 
UCare Individual & Family Plans with M Health Fairview Bronze, Bronze HSA, Silver, Silver HSA and Gold.

If you have other questions, contact the Provider Assistance Center:

612-676-3300 or 1-888-531-1493 (toll free)
Hours:  8 am to 5 pm,  Monday through Friday

State Public Programs &
 Special Needs Plans

 

MinnesotaCare (MnCare) | Minnesota Senior Care Plus (MSC+) | Prepaid Medical Assistance Progam (PMAP) | UCare Connect (SNBC) 
Minnesota Senior Health Options (MSHO) | UCare Connect + Medicare
 

Authorization and Notification Requirements -
Mental Health & Substance Use Disorder Services

 

 

Forms & Information

Authorization Contact Information

 

UCare Mental Health & Substance Use Disorder Services
 

Phone:

612-676-6533
1-833-276-1185 (toll free)

Fax:

612-884-2033
1-855-260-9710 toll free
Medical card icon

Check Authorization Status

Login to check the status of an 
authorization request.

LOG IN

 

 

*UCare Medicare Plans include Aware, Classic, Complete, Essentials Rx, Prime, Standard, Value and Value Plus, 
Advocate Choice, Advocate Choice Plus and UCare Medicare Supplement.
UCare Individual & Family Plans include Core, Bronze, Bronze HSA, Silver, Silver HSA and Gold; and 
UCare Individual & Family Plans with M Health Fairview Bronze, Bronze HSA, Silver, Silver HSA and Gold.

Phone icon
If you have other questions, contact the Provider Assistance Center:

612-676-3300 or 1-888-531-1493 (toll free)
Hours:  8 am to 5 pm,  Monday through Friday

Special Needs Plans - UCare Connect + Medicare, Minnesota Senior Health Options

 

Find Medical Injectable Drug Prior Authorization Resources for UCare Medicare + Medical Assistance health plans and forms to request authorizations on our Pharmacy page.

 

State Public Programs – PMAP, MSC+,
MnCare, UCare Connect

 

Find Medical Injectable Drug Prior Authorization Resources for UCare Medicaid health plans and forms to request authorizations on our Pharmacy page.