Eligibility & Authorizations
Verify member eligibility at least monthly. (log-in required)
Check the status on an authorization. (log-in required)
Find drug coverage for each UCare health plan, and forms to request exceptions or authorizations.
Medical Authorization & Notification
2013 Authorization & Notification Requirements - Medical Services
2013 Injectible Drugs - Authorization Requirements
Prior Authorization Request Form
Benefit Exception Request
Birth Notification Form
Hospice Election Form
Working With Restricted Recipients
Restricted Recipient Program Intake Form
Medical Referral Form
Prescribing Privileges for PCP Partners
Mental Health & Chemical Dependency Authorization & Notification
2013 Behavioral Health Authorization & Notification Requirements - Medicaid
Applies to Prepaid Medical Assistance Plan, MinnesotaCare, Minnesota Senior Care Plus, UCare Connect, and the Medicaid portion of UCare's Minnesota Seniors Health Options
2013 Behavioral Health Authorization & Notification Requirements - Medicare
Applies to UCare for Seniors and the Medicare portion of UCare's Minnesota Senior Health Options
Direct all mental health & chemical dependency authorization requests and questions to the appropriate UCare delegate:
MMSI for members whose primary care clinic is in the MMSI network (including the Mayo Clinic Health System)
1-800-645-6296, option 5 | Fax: 1-888-889-7822
BHP for all other members | 763-525-1746 or 1-800-361-0491 | Fax: 763-486-4437
Mental Health Targeted Case Management Approval Form
Dialectical Behavior Therapy Intensive Outpatient Program Authorization Request Form
Chiropractic Authorization
Direct all authorization questions to UCare's delegate, ChiroCare | 1-888-638-7719
Dental Authorization
Physical, Occupational & Speech Therapy Authorizations
2013 Authorization Requirements: Read Bulletin Use the HSM authorization service before providing outpatient therapy services.
UCare Therapy Provider PortalUCare has partnered with HSM, Inc. to manage the utilization and quality of its members’ outpatient and in-home rehabilitative and habilitative therapy services. You must register
(click here to log-in) to access functionality that will help you with your UCare Therapy Authorizations.
Transportation
Personal Care Attendant (PCA)
Nursing Home