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.
Monoclonal Antibody Treatments for COVID-19
The Food and Drug Administration has authorized Emergency Use Authorization and approved multiple monoclonal antibody therapies for treatment of mild-to-moderate COVID-19 in adults and pediatric patients who are at high risk for progressing to severe COVID-19 and/or hospitalization.
See the April 6, 2021 Provider Bulletin for details.
April 2021 Health Lines
Learn about COVID-19 Information for Providers, UCare and Minnesota Medical Association Collaborate on Health and Racial Equity, Ineligible Provider List Updated, COVID-19 Vaccine Outreach, Documentation Improvement: Parkinson's Disease, 2021 Summer Camps for Young UCare Members and more.
Read the April 2021 Health Lines.
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REMINDER: Medicare Services Must Be Provided and Billed By Eligible Medicare Provider Types
Medicare claims submitted with billing or rendering provider specialty/taxonomy not included on the Medicare/Supplier crosswalk will deny for invalid provider taxonomy.
See the March 31, 2021 Provider Bulletin for details.
Updated Prior Authorization Criteria for Drugs on the IFP Formulary
Starting May 1, 2021, UCare is updating prior authorization criteria for 11 drugs that are on the UCare Individual & Family Plans and UCare Individual & Family Plans with M Health Fairview formulary.
See the March 11 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.
Read the Provider Bulletin.
Go to the Provider Manual.
Updated Prior Authorization Criteria for Drugs on the IFP Formulary
Starting April 1, 2021, UCare is updating prior authorization criteria for 14 drugs that are on the UCare Individual & Family Plans and UCare Individual & Family Plans with M Health Fairview formulary.
See the Feb. 15 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.
2021 Code and Editing Updates
New codes have been identified for 2021 and will be accepted into the UCare system as of the effective dates but are subject to the editing update and implementation dates.
See the Dec. 29 bulletin for details.
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