Important Note: Your contract may need to be updated, if your service offerings expand (for example, the addition of mental health, substance use disorder (SUD) services, home infusion accreditation received or durable medical equipment (DME) to your practice). Please communicate this information to UCare by sending an email to providercontracts@ucare.org. Please include the name of your office, TIN, NPI, service being added, effective date and contact information.
Quantity Limits (QL) Updated for Continuous Glucose Monitors on All UCare Formularies
Effective Sept. 1, 2021, quantity limits for continuous glucose monitor products will be updated.
See the July 23 Provider Bulletin for details.
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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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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.
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