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| Document Name | Date Published | Communication Type | Meta |
|---|---|---|---|
| 2021 UCare Provider Manual Update | 2021-02-26 | Bulletin | Provider Manual, Update, 2021, manual, PAC, key, updates, February, q1 |
| Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary | 2021-03-10 | Bulletin | Prior authorization criteria, drugs, Ayvakit, Cabometyx, Fasenra, Growth Hormone, Humira, Lynparza, Rydapt, Tazverik, Tibsovo, Xenazine, Xpovio, Pharmacy |
| Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary | 2021-06-11 | Bulletin | Prior authorization criteria, drugs, Exjade, Jadenu, Farydak, Ferripirox, Oxervate, Retevmo, Tabrecta |
| REMINDER: UCare Medicare Part D Vaccine Information | 2021-02-04 | Bulletin | |
| New Prior Authorization Requirement for Victoza and Nubeqa | 2021-01-15 | Bulletin | |
| January 2021 Health Lines | 2021-01-04 | Newsletter | |
| July 2021 Health Lines | 2021-07-07 | Newsletter | July, 2021, Health Lines, Healthlines, Newsletter, Culture, Care, Racial, Equity, Adolescent, Dialectical, DBT IOP, Authorization Update, Diabetes, Hypertension, App, Covid-19, Chloe Barnes, Rare Disease, Advisory Council, Minnesota, Healthy Savings, over the counter, over-the-counter, clinical documentation, provider news, MDE, MDH, Help Me Connect, Instagram, holidays, PAC |
| Changes to the Payment and Remittance Selection Process | 2020-12-18 | Bulletin | "request Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA) changes was removed, require the prior financial institution, UCare Contract Manager" |
| Change in Frequency for Outpatient Hospital Fee Schedule Updates | 2020-12-15 | Bulletin | |
| Early Intensive Development and Behavioral Intervention (EIDBI) Claims Payment | 2020-12-14 | Bulletin | |
| Medical Benefit Drug Prior Authorization for 2021 and Biosimilar Step Therapy Information | 2020-11-18 | Bulletin | Part D, CARC 280, RARC N751, Vaccination Provided at a Pharmacy, Vaccination Provided at a Clinic, Express Scripts, TransactRx |
| Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary | 2021-02-15 | Bulletin | Prior authorization criteria, drugs, Afinitor, Calquence, Tagrisso, Xalkori, Arcalyst, Kalydeco, Trikafta, Zytiga, Austedo, Stivarga, Tykerb, Brukinsa, Symdeko, Vascepa, Pharmacy |
| Notice of UCare Implementation of Medicare Facility LCD/NCD Policies | 2017-12-19 | Bulletin | |
| Medication Therapy Management (MTM) Program Update | 2020-11-04 | Bulletin | |
| Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary | 2021-05-11 | Bulletin | Prior authorization criteria, drugs, Actemra, Aimovig, Ajovy, Arcalyst, Bosulif, Emgality, Gleevec, Hemlibra, Iclusig, Jakafi, Natpara, Pomalyst, Revlimid, Spravato, Sprycel, Tasigna, Thalomid, Tobramycin (nebulized), Xifaxan |
| UCare Introduces New Medicare Supplement Plans | 2020-10-08 | Bulletin | Medicare Supplement, Medicare-eligible, Basic Medicare Supplement, Extended Basic Medicare Supplement, $20/$50 Copay Medicare Supplement, be submitted directly to Medicare, phone support, Medicare Supplement ID card |
| ARMHS Provider Notification/Change Request Form Updated | 2020-09-29 | Bulletin | |
| Impact of COVID-19 on Mental Health and Substance Use Disorder (SUD) Practice Webinar | 2020-09-10 | Bulletin | |
| Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary | 2021-04-12 | Bulletin | Prior authorization criteria, drugs, Alecensa, Continuous Glucose Monitors, Erleada, Forteo, Gavreto, Ibrance, Iclusig, Kisqali, Kynmobi, Leuprolid (long acting), Lonsurf, Lorbrena, Ninlaro, Omnipod, Onureg, Promacta, Rubraca, Tarceva, Verzenio, Xtandi, Zokinvy |
| Ineligible Provider List Updated August 31, 2020 | 2020-09-09 | Bulletin | |
| FAQs on New ARMHS Notification Requirement | 2020-08-28 | FAQs | |
| FAQ: Temporary Suspension of Medicare Claim Processing Edits | 2020-07-21 | Bulletin | Effective for Medicare claims with 2020 dates of service, processed after July 21, 2020, UCare is temporarily suspending certain claims processing edits for claims submitted on behalf of members in the following products: UCare Medicare Plans, UCare Medicare with M Health Fairview & North Memorial, and EssentiaCare. |
| May 2021 Health Lines | 2021-05-06 | Newsletter | May, 2021, Health Lines, Healthlines, Newsletter, Provider Manual, Q2 Update, New coverage policies added, policies, mental health, substance use, COVID-19, Continuous Glucose Monitor, Model of Care, training, member information, claim submissions, Diabetes, cultural, linguistic, competence, active, holidays, SilverSneakers |
| 2021 Summer Camps Available for Young UCare Members | 2021-4-29 | Bulletin | bulletin, summer camp, 2021, young UCare member, PMAP, MinnesotaCare, Wilderness Inquiry, One Heartland, ADA, virtual camp, Camp Superkids, asthma, American Diabetes Association, Imagine Camp, type 1 diabetes, One Heartland Camp, True Colors, LGBTQ |
| Pharmacy Access – Disruption Due to Protests | 2021-04-12 | Bulletin | pharmacies disrupted, transportation disrupted, common questions, open pharmacies, coverage for medication, delivery |
| 2019 Off-Campus Provider-Based Hospital Department Services Claims to be Adjusted | 2020-04-02 | Bulletin | |
| Coronavirus (COVID-19) Information for Providers | 2020-03-20 | Bulletin | |
| Coronavirus (COVID-19) Coverage Guidance | 2020-03-12 | Bulletin | |
| March 2020 Health Lines | 2020-03-02 | Newsletter | |
| UCare Provider Manual Has Been Updated | 2020-02-28 | Bulletin | |
| February 2020 Health Lines | 2020-02-06 | Newsletter | |
| Providers Asked to Verify That They are Using Correct Payor ID for 2019 and 2020 Medicare Claims | 2020-02-03 | Bulletin | |
| January 2020 Health Lines | 2020-01-07 | Newsletter | |
| Code and Editing Updates | 2019-12-23 | Bulletin | |
| Potential Delay in Issuance of Some 2020 UCare Medicare ID Cards | 2019-12-23 | Bulletin | |
| June 2021 Health Lines | 2021-06-04 | Newsletter | June, 2021, Health Lines, Healthlines, Newsletter, Provider Manual Update, GEDWorks, GED, Roster ID, MDH, Interpreter Claims, Interpreter Claim Submissions, Dental, Mobile Dental, MDC, Mobile Dental Clinic, Minnesota School of Dentistry, Dental Connection, Adult Dental Kits, Refill Kits, Healthy Food, Affordable Food, Second Harvest Heartland, SNAP, CVA, Stroke, Ineligible Provider, holidays, PAC |
| February 2021 Health Lines | 2021-02-08 | Newsletter | |
| License Requirements for Customized Living Services Will Change August 1 | 2021-07-08 | Bulletin | Bulletin, license, customized, living, services, CLS, assisted living facility, HCBS, EW, MSHO, MSC, MSC+ |
| 2021 Code and Editing Updates | 2020-12-29 | Bulletin | multiple automated claims editing and pricing applications, Claims Edit System (CES) version 5.4, Minnesota Health Care Program Products and its Special Needs Plans, Prospective Payment System |
| Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary | 2021-07-07 | Bulletin | Prior authorization criteria, drugs, Benlysta, Caprelsa, Cometriq, Sofosbuvir-Velpatasvir, Inlyta, Lenvima, Oriahnn, Tepmetko |
| New Medicare Products to Offer Supplemental Coverage for Nebulizer and Pulse Oximeters | 2020-12-22 | Bulletin | supplemental coverage for nebulizer and pulse oximeters, no authorization or prior face-to-face visit required, Genevive, care coordinator , diagnosis code to include on the claim when billing, COPD CODE J44.0, J44.1, J44.9, CHF CODES 150.20, 150.21, 150.22, 150.23, 150.30, 150.31 150.32, 150.33, 150.40, 150.41, 150.42, 150.43, 150.81, 150.9 |
| December 2020 Health Lines | 2020-12-02 | Newsletter | Pleasant Radford, Jr., joins UCare as Health Equity Officer, IFP Authorization 2021 Turnaround Time Requirement Changes, 2021 Medical Benefit Drug Prior Authorization, Pharmacy Formulary and Benefit Changes for Shingrix, Insulin, UCare Resources for New Parents and Baby Care, Healthy Savings at the Grocery Store, Quality Documentation, Model of Care Training and Holiday Hours from UCare. |
| Reinstatement of Previously Suspended Medicare Claims Processing Edits | 2020-11-23 | Bulletin | July 21, 2020 bulletin, Medicare members claims, Part B medical, drug and durable medical equipment (DME) services, process date, new claims, reprocessed claims, replacement claims, adjusted claims and/or void/reinstated claims, previously paid during the suspension may now result in denials of claims |
| Pharmacy Formulary and Benefit Changes for 2021 | 2020-11-18 | Bulletin | "Medical Benefit Drug Prior Authorization, Care Continuum, retrospective pharmacy authorization, adjustment on an existing prior authorization, UCare Clinical Services, scheduling issues, 150 drugs require authorization in 2021, Biosimilar Step, Enzyme Replacement, Hematology, Hereditary Angioedema, Immunologicals, Infertility, Inflammatory Conditions, Multiple Sclerosis, Oncology, Rare/Miscellaneous Conditions, Pegfilgrastim, Infliximab, Rituximab, Trastuzumab, Filgrastim, Epoetin, Bevacizumab, 365-day lookback for Medicare, 180 day lookback for Medicaid " |
| UCare Medicare Part D Vaccine Information2020-11-18 | 2020-11-18 | Bulletin | Part D, CARC 280, RARC N751, Vaccination Provided at a Pharmacy, Vaccination Provided at a Clinic, Express Scripts, TransactRx |
| December 2019 Health Lines | 2019-12-02 | Newsletter | |
| UCare Announces Changes Affecting Claims Editing for UCare Medicare Plans and State Public Programs Beginning Jan. 1, 2020 | 2019-11-25 | Bulletin | |
| Off-campus Provider-based Hospital Department Services | 2019-11-22 | Bulletin | |
| Pharmacy Formulary and Benefit Changes for 2020 | 2019-11-20 | Bulletin | |
| 2020 Changes to Medical Benefit Drug Prior Authorizations | 2019-11-15 | Bulletin | |
| Billing Requirements for Medicare Certified Home Health Care and ESRD Providers | 2019-11-14 | Bulletin | |
| Hospital Interim Claims Billing | 2019-11-14 | Bulletin | |
| MinnesotaCare Tax Changing Jan. 1, 2020 | 2019-11-13 | Bulletin | |
| November 2019 Health Lines | 2019-11-05 | Newsletter | |
| UCare Announces Changes Affecting Claims Submissions for UCare Medicare Plans Beginning Jan. 1, 2020 | 2019-10-30 | Bulletin | |
| November 2020 Health Lines | 2020-11-04 | Newsletter | Summary of UCare Health Care Plan Benefit Changes for 2021, New Medicare Plan Offerings, UCare Prime (South), UCare Aware, EssentiaCare Access, UCare Value Plus, TruHearing, Healthy Savings OTC, Delta Dental, new Institutional Special Needs Plan (I-SNP), Genevive, new Medicare Supplement Plans, UCare Individual & Family Plan Changes, 77 counties across the state, State Public Programs Benefit Changes, COVID-19 Flexibilities, Medicaid-Only Plans, virtuwell eVisits, Dual Eligible Special Needs Plans denal programs, activity, and health tracking tools, weight watchers, memory support kit, caregiver support; UCare's Update About Direct Access and the Parallel Process for Substance Use Disorder (SUD) treatment services, UCare 2020 Provider Manual Update Oct. 14, 2020, UCare's First Virtual "A Salute to Excellence!", UCare Car Seat Distributions During COVID-19, Phase 3 of COVID-19 Provider Relief Funding Available through Nov. 6, 2020, COVID-19 Information for Providers Page Update, Authorization waiver for certa |
| Monoclonal Antibody Treatments for COVID-19 | 2021-04-06 | Bulletin | The Food and Drug Administration (FDA) has authorized Emergency Use Authorization (EUA) and approved multiple monoclonal antibody therapies for the 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. These agents include the combination of casirivimab and imdevimab, bamlanivimab alone, and the combination of bamlanivimab and etesevimab B.1.1.7 (UK origin) B.1.351 (South Africa origin) P.1 (Brazil origin), B.1.427/B.1.429 (California origin) or the B.1.526 (New York origin) antibody infusion treatments Regeneron and Lilly |
| UCare Modifies Authorization Requirements for CTSS Thresholds and SUD Inpatient Admission and Residential Treatment Services | 2019-10-25 | Bulletin | |
| UCare’s “A Salute to Excellence!” Celebrates 22 Health Care Providers | 2019-10-16 | Bulletin | |
| UCare to Implement New Transportation Management Software in 2020 | 2019-10-10 | Bulletin | |
| CORRECTION: Coding Changes for Adults and Children's Mental Health Crisis Response Services for UCare State Public Programs Products | 2019-10-07 | Bulletin | |
| October 2019 Health Lines | 2019-10-07 | Newsletter | |
| Transition to Patient Driven Payment Model Methodology | 2019-09-27 | Bulletin | |
| Partial Hospitalization Claims Update Being Implemented at Clearinghouse Level | 2019-09-16 | Bulletin | |
| Inhaler Preferred Drug List Status Changes | 2019-09-06 | Bulletin | |
| September 2019 Health Lines | 2019-09-04 | Newsletter | |
| August 2019 Health Lines | 2019-08-05 | Newsletter | |
| Temporary Rate Increase for Personal Care Assistance (PCA) and Elderly Waiver (EW) Consumer Directed Community Supports (CDCS) | 2020-12-16 | Bulletin | request Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA) changes was removed, require the prior financial institution, UCare Contract Manager |
| October 2020 Health Lines | 2020-10-07 | Newsletter | Provider Demographics, supervising provider information, paper claims, 837P format loop 2310D, NN1919, NM102, NM103, NM104, NM108, NM109, Flu Season Reminder, Clinical Practice Guidelines Approved, Assessment and Treatment of Children and Adolescents with Attention-Deficit/Hyperactivity Disorder, Assessment and Treatment of Children and Adolescents with Depressive Disorders, Treatment of Patients with Schizophrenia, Treatment of Patients with Substance Use Disorders (SUD), UCare Mobile Dental Clinic, UCare Dental Connection, Documentation Improvement: Capturing Chronic Conditions, COVID-19 Information for Providers, authorizations, Billing Payment; relief funding |
| FDA Alert on Voluntary Recall of Albuterol Inhalers Manufactured by Perrigo | 2020-10-06 | Bulletin | Perrigo, albuterol inhalers , pharmacy level recall, letters to impacted members, FDA website, switch inhalers, inhaler malfunction, |
| September 2020 Health Lines | 2020-09-10 | Newsletter | ICD-10-CM Coding for Social Determinants of Health, Z codes, food, housing, transportation, education, violence, social support, health behaviors and employment; UCare Members to Receive In-Home Test Kits, microalbumin, A1c, colorectal cancer screenings, BioIQ, no extra cost; 2020 Formulary Status for Influenza Treatments, State Medical Assistance Programs, Oseltamivir capsules, Oseltamivir suspension, Tamiflu capsules, Tamiflu suspension, Relenza, Xofluza; Ineligible Provider List Updated 08/31/2020, MHP, Mental Health, Chemical Dependency; September is Falls Prevention Awareness Month, 1 in 3 adults 65 or older, fear of falling, ucare.org/falls; Adult Residential Intensity: High Intensity Committed/Complex Reminder, state public program patients, high intensity committed/complex modifier, H2036 & TG, U4, HK; Provider Relief Fund Application Deadline Extended to Sept. 13, $15 billion to eligible providers who had not yet received a payment, CARES Act Provider Relief Fund; Model of Care Training, Minnesota |
| Coordination of Benefits Reporting Updated on Remits | 2020-08-26 | Bulletin | After hearing from providers, UCare is pleased to announce an enhancement to our EOPs and 835s. This week, UCare will update the reporting of COB claims on EOPs and 835s. UCare will now be reporting prior payments/adjustment amounts in the CAS segment with OA (Other Adjustment) 23 (The impact of prior payer(s) adjudication including payment and/or adjustments). Prior payments, adjustment amounts, CAS, segment, OA, other adjustment, 23, CO, Contractual obligation, |
| 2020 Critical Business Reminders | 2020-08-12 | Bulletin | practitioner’s rights related to the credentialing and recredentialing processes, pharmacy, complex case management referral process. utilization management information, member rights and responsibilities statement, shared decision-making aids, clinical practice guidelines, social determinants of health |
| Important Admission Notification Reminders | 2020-08-06 | Bulletin | Acute care hospital: Inpatient Admission. Observation status admissions, Maternity/Newborns, Intermediate levels of care: Long-term Acute Care Hospital (LTACH), Acute Inpatient Rehabilitation facility (AIR) |
| August 2020 Health Lines | 2020-08-04 | Newsletter | UCare Provider Manual Update, Restricted Recipient, Provider Credentialing, Claims Payments, Authorizations Notifications, Medical Necessity Criteria for Services Requiring Authorization, Mental Health and Substance Use Disorder Services, Hospital Services, Transportation, Holiday Closure Hours, Labor Day, PAC, New Member ID Card Design, new members, replacement cards, Rheumatoid Arthritis, LivingWell Kid Kits, Medicaid Youth, age under 18, fitness run kit, youth de-stress kit, child dental kit, Tween/Teen Dental Kit, Member Rights and Responsibilities, Provider Relief Fund Application Deadline Update, August 28, extension. |
| 2019 Critical Business Reminders | 2019-07-30 | Bulletin | |
| July 2019 Health Lines | 2019-07-08 | Newsletter | |
| Providers Asked to Set Up Electronic Payments by Aug. 31, 2019 | 2019-07-01 | Bulletin | |
| UCare to Align Claims Processing with SUD Reform for HF Modifier | 2019-06-24 | Bulletin | |
| Minnesota Health Care Programs Drug List Changes Coming Effective July 1, 2019 | 2019-06-04 | Bulletin | |
| June 2019 Health Lines | 2019-06-03 | Newsletter | |
| Behavioral Health Claims Updates | 2019-05-23 | Bulletin | |
| UCare to Introduce Online Submission of Claim Reconsideration Requests May 20 for Adjustments/Appeals and Recoupments | 2019-05-15 | Bulletin | |
| Reminder for Billing Services From Indian Health Services or 638 Facilities | 2019-05-08 | Bulletin | |
| May 2019 health lines | 2019-05-01 | Newsletter | |
| Medicaid & CHIP Provider Relief Fund Distribution Update | 2020-07-29 | Bulletin | Earlier this month, the U.S. Department of Health and Human Services (HHS) announced that it is extending the Medicaid and CHIP Provider Relief Fund distribution provider application deadline to apply to Aug. 3, 2020. The information was shared in an announcement that a second round of funding was being distributed to high-impact COVID-19 area hospitals. |
| Temporary Suspension of Medicare Claim Processing Edits | 2020-07-21 | Bulletin | Effective for Medicare claims with 2020 dates of service, processed after July 21, 2020, UCare is temporarily suspending certain claims processing edits for claims submitted on behalf of members in the following products: UCare Medicare Plans, UCare Medicare with M Health Fairview & North Memorial, and EssentiaCare. |
| April 2019 heath lines | 2019-04-04 | Newsletter | |
| Provider FAQs – New UCare Claims System | 2019-04-02 | Bulletin | |
| Medicaid Nutritional Supplement Benefit Change | 2019-03-29 | Bulletin | |
| UCare to Implement New Transportation Management Software in 2019 | 2019-03-29 | Bulletin | |
| March 2019 health lines | 2019-03-04 | Newsletter | |
| UCare Online Submission of Claim Reconsideration Requests Delayed | 2019-03-04 | Bulletin | |
| UCare Provider Manual Has Been Updated | 2019-02-28 | Bulletin | |
| February 2019 heath lines | 2019-02-06 | Newsletter | |
| Updates on 2019 IFP Claim Payments & Electronic Transactions | 2019-01-29 | Bulletin | |
| UCare to Introduce Online Submission of Provider Claims Reconsideration Form | 2019-01-17 | Bulletin | |
| Billing Reminders for Home Infusion Services | 2019-01-15 | Bulletin | |
| NPI Edit Error Impacting Atypical Providers with Availity | 2019-01-15 | Bulletin | |
| Updates on 2019 Claim Rejection Edits | 2019-01-15 | Bulletin | |
| Updates on Member Eligibility Services for 2019 Individual & Family Plan Members | 2019-01-14 | Bulletin | |
| Additional Enrollment Opportunities for Medicare Members | 2019-01-07 | Bulletin | |
| January 2019 health lines | 2019-01-03 | Newsletter | |
| 2019 EDI Claims Delays for UCare Individual & Family Plans ONLY | 2018-12-27 | Bulletin | |
| Code and Editing Updates Reminder | 2018-12-14 | Bulletin | |
| Jan. 1, 2019, Changes for PCA & HCN Providers Serving Members Under Age 65 | 2018-12-11 | Bulletin | |
| Tips & Reminders Regarding Nursing Facility Liability Letters | 2018-12-06 | Bulletin | |
| 2019 Pharmacy Formulary Update | 2018-12-05 | Bulletin | |
| December 2018 health lines | 2018-12-03 | Newsletter | |
| UCare Announces Changes Affecting Claims Editing for UCare Choices Plans Beginning Jan. 1, 2019 | 2018-11-29 | Bulletin | |
| November 2018 health lines | 2018-11-05 | Newsletter | |
| FAQs - Suspension of Authorizations For UCare Choices and Fairview UCare Choices Members Effective Jan. 1, 2019 | 2018-11-01 | FAQs | |
| UCare to Suspend Authorizations in 2019 for UCare Choices Plans | 2018-11-01 | Bulletin | |
| UCare Choices Claims Submission Changes for 2019 | 2018-10-24 | Bulletin | |
| UCare Renames Three Products for 2019 | 2018-10-17 | Bulletin | |
| October 2018 health lines | 2018-10-03 | Newsletter | |
| September 2018 health lines | 2018-09-05 | Newsletter | |
| July 2020 Health Lines | 2020-07-06 | Newsletter | Telephonic Outreach, well child exams and immunizations, our Somalian and East Asian populations, Bruce Cantor, M.D., M.S., UCare Medical Director, Temporarily Changes to Post-Acute Care Authorization and Notification Requirements April 20, September, Sept. 30, Skilled Nursing Facility & Swing Bed, Long-Term Acute Care Hospital, Acute Inpatient Rehabilitation, Home Care Services (i.e., skilled nurse, home health aide), prior authorization for out of network services, UM Satisfaction Survey, Ineligible Provider List Updated June 29, 2020, Silver Sneakers, Healthy Savings, UCare Medicare Plans, UCare Medicare w/ M Health Fairview & North Memorial, EssentiaCare, UCare Minnesota Senior Health Options (MSHO), UCare Connect and UCare Connect + Medicare, Life Time Fitness, YMCA Twin Cities, SNAP Fitness, Curves, Healthy Contributions Clubs, National Independent Health Club Association (NIHCA) clubs, UCare member ID number, current insurance information, New Member ID Card Format, two-sided, card issued date, copay i |
| Notification Requirements Update: Adult Rehabilitative Mental Health Services (ARMHS) | 2020-07-01 | Bulletin | Notification Requirements Update: Adult Rehabilitative Mental Health Services (ARMHS) |
| UCare to Roll Out New Member ID Card Design | 2020-06-15 | Bulletin | Member ID Card Tip Sheet, new cards, replacement cards, 2021 for all members, two sided, card issued date, coverage year, copayments for services, coinsurance, copays, provider portal |
| FDA Recall of Certain Manufacturers of Metformin Extended-Release Tablets | 2020-06-11 | Bulletin | Metformin Extended Release, Metformin ER tablets, N-Nitrosodimethylamine (NDMA), Amneal and Apotex, Actavis (Teva) and Marksans Pharma Limited, type 2 diabetes, FDA news release, members be switched to other manufacturer, letter to members |
| Notification Requirements Update: Outpatient SUD Services | 2020-06-05 | Bulletin | individual/group (H2035),treatment coordination (T1016 U8 HN), peer recovery support (H0038 U8), Prepaid Medical Assistance Program (PMAP), MinnesotaCare, Minnesota Senior Health Options (MSHO), Minnesota Senior Care Plus (MSC+), UCare Connect, UCare Connect + Medicare, UCare Individual & Family Plans, and UCare Individual & Family Plans with M Health Fairview (H2035 and T1016 U8. Notification of Substance Use Disorder (SUD) Outpatient |
| March 2021 Health Lines | 2021-03-04 | Newsletter | March, 2021, Health Lines, Newsletter, COVID-19, Vaccine Connector, Q1, Avivo, Model of Care, Maternal, Child, Health Program, Ineligible Provider List, Documentation Improvement, Training, |
| June 2020 Health Lines | 2020-06-01 | Newsletter | Covid-19 Member relief Q&A,coronavirus, Medicare, telehealth, home kits, masks, healthy snack boxes and iPads, COB, explanation of payment, IFP, CO-109-Claim, COVID-19 Information for Provider webpage updates, telehealth visits, Complete visit documentation as you would for an in-person visit, MHSUDservices@ucare.org, Model of Care, MOC, training, Minnesota Senior Health Options (MSHO), UCare Connect + Medicare plans, Dual Eligible Special Needs Plans, Quit for Life, UCare’s tobacco quit line program, independence day observation. |
| Pharmacy Access – Disruption Due to Protests | 2020-05-29 | Bulletin | pharmacies disrupted, transportation disrupted, common questions, open pharmacies, coverage for medication, delivery |
| UCare Introduces Enhanced Prior Authorization and Pre-Determination Forms for Medical Services and Medical Injectable Drugs | 2020-05-29 | Bulletin | IFP, telehealth, Medicare, primary care, PCP, waiver copays, waive coinsurance, waive deductible, member premiums July August, medical supplies, snacks, infrastructure grants, duration of federal and state public health emergencies, COVID-19, coronavirus. |
| UCare Introduces New and Updated Mental Health and Substance Use Disorders Prior Authorization and Notification Request Forms | 2020-05-29 | Bulletin | General Prior authorization, predetermination, Medicare, July 1 effective date, medical services, medical injectable drug |
| UCare Provides Individual & Family and Medicare Members with COVID-19 Financial Relief | 2020-05-28 | Bulletin | IFP, telehealth, Medicare, primary care, PCP, waiver copays, waive coinsurance, waive deductible, member premiums July August, medical supplies, snacks, infrastructure grants, duration of federal and state public health emergencies, COVID-19, coronavirus. |
| Additional Claims Payment Run Added for May 2020 Holiday Week | 2020-05-21 | Bulletin | UCare will add back the second claims payment run the week of Memorial Day. Usually during the week of a holiday, there is only one payment run. For the week of May 25-29, remit payments will occur Wednesday and Friday. UCare will send remits up to three business days after payment is made on a claim. Claim status and remits can be accessed via UCare’s Provider Portal. |
| For Coders and Billers: Billing for Part B Vaccines and Immunizations | 2018-08-27 | Bulletin | |
| New State Public Program (SPP) Medical Drug Prior Authorization Request Form effective September 1, 2018 | 2018-08-03 | Bulletin | |
| August 2018 health lines | 2018-08-01 | Newsletter | |
| Important Drug Recall Information | 2018-07-30 | Bulletin | |
| 2018 Critical Business Reminders (new template) | 2018-07-25 | Bulletin | |
| New Provider Search Tool for Members | 2018-07-23 | Bulletin | |
| New UCare Claims Payment Schedule effective July 23, 2018, and forward | 2018-07-12 | Bulletin | |
| July 2018 health lines | 2018-07-02 | Newsletter | |
| UCare to Implement Home and Community-Based Services Billing Changes | 2018-06-29 | Bulletin | |
| Revised - UCare Explanation of Payments (EOP) Report and EDI 835 Updates | 2018-06-28 | Bulletin | |
| May 2020 Health Lines | 2020-05-06 | Newsletter | Coronavirus, COVID-19, Billing and Payment, Pharmacy and Formularies, Adding Practitioners/Locations on a Temporary Basis, Credentialing, Telehealth, Prior authorizations, ranitidine (Zantac) drugs on the market, N-nitrosodimethylamine, NDMA, famotidine, nizatidine, cimetidine, omeprazole, pantoprazole, lansoprazole, Adult Rehabilitative Mental Health Services (ARMHS) are rehabilitative services, Minnesota Senior Care Plus (MSC+), Minnesota Senior Health Option (MSHO), UCare Connect, UCare Connect + Medicare, Prepaid Medical Assistance Program (PMAP) or Minnesota Care (MnCare), HEALTH CLUB SAVINGS, Medicare, over the counter benefits, COVID-19 FUNDING, Social isolation, Telehealth, Food insecurity, MATTERbox snack packs, Personal Protective Equipment (PPE), UCare Connect (SNBC), Medical Assistance (MA) and a certified disability, Todd, Wadena and Morrison |
| Additional Billing Guidance for Medicare Certified Home Health Care Providers | 2020-05-01 | Bulletin | claims, billing guidelines, payment methodology, Patient-Driven Groupings Model (PDGM), continuous care episodes, 60-day episode of care, 30-day period of care, claims submission instructions, CMS Billing Resources, UCare Medicare Plans, UCare Medicare with M Health Fairview & North Memorial, Minnesota Senior Health Options (MSHO), UCare Connect + Medicare, UCare Individual & Family Plans, UCare Individual & Family Plans with M Health Fairview, IFP |
| Market Withdrawal Alert – Ranitidine (Zantac) Products | 2020-04-24 | Bulletin | N-nitrosodimethylamine (NDMA), impurity, igher than room temperatures, risk of cancer, supply shortages for the drug famotidine, cimetidine, nizatidine, omeprazole, pantoprazole and lansoprazole |
| UCare Temporarily Changes Post-Acute Care Authorization And Notification Requirements | 2020-04-20 | Bulletin | prior authorization and notification requirements, Coronavirus (COVID-19), post-acute care, 48 hours of admission, Skilled Nursing Facility & Swing Bed Admission, UCare Medicare, EssentiaCare, UCare Medicare with M Health Fairview and North Memorial, MSHO, UCare Connect + Medicare, Long-Term Acute Care Hospital SNF, Long-Term Acute Care Hospital, LTAC, Acute Inpatient Rehab, Home Health Care (Skilled nurse visits, Home Health Aide), UCare Connect, UCare Connect + Medicare |
| Withdrawal Management Added to Mental Health & Substance Use Disorder Services | 2020-04-07 | Bulletin | Chemical Dependency. Substance Use Disorder, state public programs, Withdrawal Management, Behavioral Health, MN-SUD, BH |
| April 2020 Health Lines | 2020-04-06 | Newsletter | Message from UCare CEO Mark Traynor, COVID-19 Information For Providers, Clinical Practice Guidelines, FAQ, Clinical Practice Guidelines, Hyperactivity, ADHD, Depression, Schizophrenia, Substance Use Disorder, SUD, Expedited Appeals for Pharmacy and Medical Drugs, formulary exceptions, Mental Health and Substance Use Disorder Team, Accurate Member Information, Documentation Improvement for Dementia |
| UCare Pharmacy COVID-19 Update | 2020-03-26 | Bulletin | Coronavirus, access to medication, refills, prescriptions, options, monitoring treatments, clinical trials, drug shortages, formulary status, |
| New Drug Prior Authorization Removals Beginning July 1, 2018 | 2018-06-22 | Bulletin | |
| June 2018 health lines | 2018-06-04 | Newsletter | |
| Billing for Mental Health and Chemical Dependency Services | 2018-06-01 | Bulletin | |
| May 2018 health lines | 2018-05-15 | Newsletter | |
| April 30, 2018 Provider Manual Update | 2018-04-30 | Bulletin | |
| April 2018 health lines | 2018-04-15 | Newsletter | |
| Changes to UCare Claims Payment Schedule | 2018-04-05 | Bulletin | |
| March 2018 health lines | 2018-03-15 | Newsletter | |
| Updates to SPP Mental Health Services Claim Processes | 2018-03-01 | Bulletin | |
| Basaglar Preferred Long Acting Insulin for MHCP Formulary | 2018-02-15 | Bulletin | |
| February 2018 health lines | 2018-02-15 | Newsletter | |
| Provider Manual Updated | 2018-01-31 | Bulletin | |
| January 2018 health lines | 2018-01-16 | Newsletter | |
| Unauthorized Provider Services | 2017-12-20 | Bulletin | |
| 2015 Critical Business Reminders | 2017-12-15 | Bulletin | |
| December 2017 health lines | 2017-12-15 | Newsletter | |
| 2018 Authorization and Notification Grids Available | 2017-11-15 | Letter | |
| November 2017 health lines | 2017-11-15 | Newsletter | |
| October 2017 health lines | 2017-10-15 | Newsletter | |
| Mark Traynor Named UCare President and CEO | 2017-10-11 | Bulletin | |
| September 2017 health lines | 2017-09-15 | Newsletter | |
| August 2017 health lines | 2017-08-16 | Newsletter | |
| July 2017 health lines | 2017-07-14 | Newsletter | |
| June 2017 health lines | 2017-06-15 | Newsletter | |
| Taxonomy Cross Over Claims | 2017-05-30 | Bulletin | |
| May 2017 health lines | 2017-05-15 | Newsletter | |
| Behavioral Health Update | 2017-05-01 | Bulletin | |
| PPS Implementation Follow Up | 2017-04-26 | Bulletin | |
| April 2017 health lines | 2017-04-19 | Newsletter | |
| March 2017 health lines | 2017-03-23 | Newsletter | |
| Provider Assurance Statement for Telemedicine Required to Deliver Telemedicine Services to Certain UCare Members | 2017-02-23 | Bulletin | |
| February 2017 health lines | 2017-02-15 | Newsletter | |
| Provider Manual Update | 2017-02-14 | Bulletin | |
| Taxonomy FAQs | 2017-02-09 | FAQs | |
| Taxonomy Update | 2017-02-09 | Bulletin | |
| Physician Pricer | 2017-01-18 | Bulletin | |
| Ambulance PPS | 2017-01-17 | Bulletin | |
| January 2017 health lines | 2017-01-17 | Newsletter | |
| December 2016 health lines | 2016-12-15 | Newsletter | |
| 2016 Critical Business Reminders | 2016-12-14 | Bulletin | |
| November 2016 health lines | 2016-11-16 | Newsletter | |
| October 2016 health lines | 2016-10-18 | Newsletter | |
| SNF Pricing Tool Implementation | 2016-09-30 | Bulletin | |
| September 2016 health lines | 2016-09-15 | Newsletter | |
| August 2016 health lines | 2016-08-12 | Newsletter | |
| July 2016 health lines | 2016-07-14 | Newsletter | |
| June 2016 health lines | 2016-06-14 | Newsletter | |
| ARHMS Authorization Update | 2016-06-01 | Bulletin | |
| May 2016 health lines | 2016-05-11 | Newsletter | |
| Provider Assurance Statement for Telemedicine Required to Deliver Telemedicine Services to Certain UCare Members | 2019-12-12 | Bulletin | Prepaid Medical Assistance Program, PMAP, MinnesotaCare, MNCare, Minnesota Senior Health Options, MSHO, Minnesota Senior Care Plus, MSC+, UCare Connect, UCare Connect + Medicare, UCare Individual & Family Plans and UCare Individual & Family Plans with M Health Fairview, IFP, Provider Assurance Statement for Telemedicine, CARC: 163, RARC: N59, UCare telemedicine policy |
| April 2016 health lines | 2016-04-12 | Newsletter | |
| March 2016 health lines | 2016-03-16 | Newsletter | |
| Behavioral Health Retro Authorization Process Change | 2016-03-11 | Bulletin | |
| February 2016 health lines | 2016-02-11 | Newsletter | |
| January 2016 health lines | 2016-01-19 | Newsletter | |
| Part D Provider Enrollment Requirement | 2016-01-19 | Bulletin | |
| Skilled Nursing and Home Health Aides Services Care Authorization Changes | 2016-01-06 | Bulletin | |
| Update to UFS Supplemental Vision | 2015-12-30 | Bulletin | |
| ABN FAQs | 2015-12-28 | FAQs | |
| Mid-level Reduction | 2015-12-21 | Bulletin | |
| December 2015 health lines | 2015-12-15 | Newsletter | |
| PCA Service Updates | 2015-12-10 | Bulletin | |
| Transportation Provider Provider Manual Updates | 2015-12-04 | Bulletin | |
| Taxonomy | 2015-12-01 | Bulletin | |
| November 2015 health lines | 2015-11-15 | Newsletter | |
| October 2015 health lines | 2015-10-15 | Newsletter | |
| FQHC-RHC Update to ANSI Code Grid | 2015-10-08 | Bulletin | |
| Vision ICD-10 Important Information | 2015-09-30 | Bulletin | |
| September 2015 health lines | 2015-09-15 | Newsletter | |
| August 2015 health lines | 2015-08-18 | Newsletter | |
| ICD-10 DSM5 Behavioral Health | 2015-08-18 | Bulletin | |
| FQHC-RHC Payment Carve-Out Process | 2015-07-30 | FAQs | |
| UFS Vision FAQs | 2015-07-28 | FAQs | |
| June 2015 health lines | 2015-06-15 | Newsletter | |
| State_Immunization_Changes | 2015-05-27 | Bulletin | |
| May 2015 health lines | 2015-05-15 | Newsletter | |
| Vision Benefit Routine Screening Eye Examinations | 2015-05-11 | Bulletin | |
| Vision Clarification | 2015-04-16 | Bulletin | |
| April 2015 health lines | 2015-04-13 | Newsletter | |
| Transportation | 2015-03-25 | Bulletin | |
| April 2021 Health Lines | 2021-04-05 | Newsletter | April, 2021, Health Lines, Healthlines, Newsletter, COVID-19, Racial, Equity, Ineligible Provider, updated, Vaccine, Parkinsons, Disease, Social Isolation, Mobile app, app, smoking, summer camp, camps, email reminder, |
| March 2015 health lines | 2015-03-15 | Newsletter | |
| FQHC-RHC | 2015-03-03 | Bulletin | |
| Authorization and Notification Requirements Update: Outpatient Substance Use Disorder Services | 2021-4-26 | Bulletin | bulletin, outpatient, substance use disorder services, 2021, H2035 or H2035HQ |
| CD RES Treatment Room and Board Billing Update | 2015-02-27 | Bulletin | |
| NDC | 2015-02-26 | Bulletin | |
| February 2015 health lines | 2015-02-19 | Newsletter | |
| Modifier 59 and New Companion Situational Modifier | 2015-02-09 | Bulletin | |
| FQHC-RHC | 2015-01-30 | Bulletin | |
| UCare ABNs | 2015-01-26 | Bulletin | |
| Provider Manual Update Transportation Section | 2015-01-16 | Bulletin | |
| January 2015 health lines | 2015-01-15 | Newsletter | |
| REMINDER: Medicare Services Must Be Provided and Billed by Eligible Medicare Provider Types | 2021-03-31 | Bulletin | rendering provider specialty taxonomy, supplier, crosswalk, cross walk, claims, Medicare, specialty/taxonomy, CARC 204, RARC N130, reprocess, CARC 16, RARC N288, billing errors, missing incomplete invalid rendering |