UCare's Provider Center

 

Would You Like to Join Our Network?

 
We will help determine if you are eligible to join our network and make sure you have everything needed to submit your application.            
 

Are You a Current Provider?

 
Providers can add or term locations or practitioners or update their demographic information with our online tools.
 
 
Contact UCare delegates to credential these practitioners:
 

Chiropractic - Fulcrum Health.Inc.: 1-877-887-9491

Dental - Delta Dental of Minnesota

Look up your current practitioner and facility listings in
UCare's network provider search:
 
 

Find a Doctor or Other Provider

Newsletters & Alerts

 

See Full Provider News Library

Additional Enrollment Opportunities for Medicare Members

Medicare-eligible individuals have multiple opportunities to enroll in the most appropriate plan to meet their needs.

We’ve prepared a Provider Bulletin to help explain the following enrollment periods:

  • Special Enrollment Period (SEP) - Dec. 8, 2018 to Feb. 28, 2019
  • Medicare Advantage Open Enrollment Period - Jan. 1, 2019 to March 31, 2019

 

January 2019 edition of the health lines Provider Newsletter

In this edition, read about changes for PCA and HCN services billed to members under age 65, new product names, 2019 Opioid Edits, enhanced prior authorization DME/Supply form, and documentation improvement for MI. 

 

See the January health lines

 

 

2019 Pharmacy Formulary update

This bulletin provides a summary of the UCare pharmacy formulary changes taking effect Jan. 1, 2019. Plan names have changed for 2019 for Medicare plans and Individual & Family plans.

 

See the full Provider Bulletin.

 


 

UCare 2019 Authorization Grids 

UCare's 2019 authorization and notification requirements are now available on our website at ucare.org/providers, under the Eligibility & Authorization section: State and Public programs, UCare Medicare Pans, EssentiaCare, Behavioral Health and Pharmacy.

 

Go to the Web Page

 

 

UCare to Suspend Authorizations in 2019 For UCare Choices Plans

During 2019, UCare will temporarily suspend the requirement for prior authorizations for services delivered to members with UCare Choices and Fairview UCare Choices (renamed as UCare Individual & Family Plans and UCare Individual & Family Plans with Fairview in 2019).
 

See the full Provider Bulletin.

 

 

UCare Choices Plans Claims Submission Changes for 2019

Effective January 1, 2019, UCare will make changes that affect claims submission for only UCare Choices and Fairview UCare Choices plans (to be renamed UCare Individual & Family Plans and UCare Individual & Family Plans with Fairview on January 1, 2019). 
 

See full Provider Bulletin
 

 

All UCare Providers: Critical Business Reminders

UCare informs providers of critical business reminders for NCQA accreditation requirements for Credentialing, Pharmacy, Complex Case Management, Utilization Management, Member Rights and Responsibilities, and Disease Management.  
 



 

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Provider Portal Unavailable

We are currently experiencing a technical issue on our provider portal. We are working on a resolution. We apologize for the inconvenience.

 

 

 

 

 

 

 

 

UCare Provider Manual Has Been Updated

2018 Provider Manual updates were made to Working with UCare's Delegated Business Services  Claims & Payment, Clinical Practice Guidelines, Member Appeals and Grievances, Home & Community Based Services, Public Health and Transportation Services. A change table in the Appendix links to specified changes in the manual. 
 

See the Provider Manual . 

 

 

Provider Assistance Center Phone Update

Our phone service is working, we’re continuing to monitor for any ongoing issues, please be aware we anticipate higher volumes as people catch up so we may experience longer wait times, especially on Monday. For faster assistance, please use the Provider Portal for claims, eligibility and authorization inquiries. We apologize for the inconvenience.