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

 

PAGE LAST UPDATED MAY 21, 2020  

Recent Changes The Weeks of May 11 and 18:

  • May 19 - COVID-19 Information for Providers, added information in opening section about Final Interim Rule RIN 0938-AU32.
  • May 19 - Billing and Payment, expanded the list of CPT/HCPCS Codes for COVID-19 Testing; added Increase to the MS-DRG for Confirmed COVID-19 Cases – UCare Medicare Advantage and Individual & Family Plans Products; added Remote Patient Monitoring – UCare Medicare Advantage and Individual & Family Plans Products; and moved resources to new Helpful Resources section at bottom of the page.  
  • May 19 - Telehealth, entire section revised.
  • May 21 - Billing and Payment, under COVID-19 Test and Treatment, the date has been extended to September 30, 2020, for UCare waiving coinsurance, copays and deductibles for in-network hospital services to treat COVID-19.

 

Topics

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

Adding Practitioners/Locations on a Temporary Basis

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