Coronavirus (COVID-19) Information For Providers

 

 

UCare is committed to protecting 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 fluid situation, UCare has developed several pages sorted by topic to address common questions. We will continue to update these pages with additional information as it becomes available, so please check back regularly. Each page will show at the top the date that it was last updated and a bulleted list of changes made within the last two weeks. Additionally, this landing page will show the changes made in the last two week, if applicable.

All information contained on this page is applicable only during the declared pandemic time period or other time frames specified below. In the event of any conflict or inconsistency between the information contained on this page and the contents of the UCare Provider Manual, the information on this page shall control during the identified time frame.

Updates in this document were made prior to receiving the Final Interim Rule RIN 0938-AU32 released by CMS on May 1, 2020.  Additional updates will be forthcoming.

We are working rapidly to finalize our system edits to recognize changes and modifications in the payment of claims. Claims currently submitted may process based on historic claims processing guidelines until system updates are in place. We will work with our providers to correct any inaccurate payments. We appreciate your patience during this challenging time.

Please Note: UCare is removing copays for Medicare primary care and mental health clinic services - including telehealth - effective June 1 and during the COVID-19 public health emergency. Learn more about the actions UCare is taking to make health care more accessible and affordable.

Please contact the Provider Assistance Center at 612-676-3300 or 1-888-531-1493 with any other questions.

 

PAGE LAST UPDATED JUNE 29, 2020  

Recent Changes The Weeks of June 22 and 29:

  • June 23 - On the Authorizations page, updated the Waiving of Prior Authorization Requirements for certain post-acute care services effective dates of service from April 20, 2020, to June 30, 2020, to April 20, 2020, to Sept. 30, 2020.
  • June 26 – On the Pharmacy and Formularies page, updated information in the Early Refills, 90-Day Prescription Refills & Mail Order Services, Delivery Options, and Drug Shortages sections. Added the Extending Prior Authorizations section.   
  • June 29 – On the Adding Practitioners/Locations on a Temporary Basis page, added a statement about extending locum tenens practitioners at a participating clinic or facility from 90 days to 180 days.

 

Topics

Click the links below to learn additional information on these topics:

Adding Practitioners/Locations on a Temporary Basis

Ambulance and Transportation Services

Authorizations

Billing and Payment (Other than Telehealth, Telemedicine and Technology Based Services)

Credentialing

Member COVID-19 Information

Pharmacy and Formularies

Telehealth, Telemedicine and Technology Based Services

Helpful Resources

 

UCare Implements New Transportation Management Software

UCare has rolled out a new transportation system to schedule rides for our members. The new service will continue to be called UCare HealthRide.

 

Read the June 22 Provider Bulletin.

 

 

 

Q4 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