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UCare - Providers - News and Notes

 

Changes in Reimbursement & Billing Requirements for PCAs Updated!

On 10/26/11 the Second Judicial Court has issued a restraining order regarding the PCA Relative Reimbursement rates. To find out what UCare's position is and what PCA agencies should be doing, click here to download our updated health lines BULLETIN.

Updated 12/29/11

 
 

Information for DME Vendors New!

A new health lines BULLETIN has been created for DME vendors. This BULLETIN is intended to provide general overview specific to the DME provider community regarding the following items of importance for 2012:

  • Prior authorization changes.
  • Contract requirements and compliance.
  • Friendly reminders.

To download a copy of this BULLETIN, click here.

Posted 12/29/11

 
 

Pre-recorded WebEx Presentations with Updates for 2012 Updated!

You are cordially invited to listen and view two recently pre-recorded WebEx presentations that provides updates and changes for 2012. Please click on the links below to listen and view the WebEx recordings or if you would like to receive copies of the presentations only.

If you have any questions, comments, and/or suggestions after the presentations, please feel free to contact us at healthlines@ucare.org.

Pre-recorded WebEx Presentations (audio and video):
›  Special WebEx Presentation:  7-County Metropolitan Area Update for 2012

›  2012 Updates from UCare 

 

Presentations only (in PDF):
›  7-County Metropolitan Area Update for 2012 

›  2012 Updates from UCare

Updated 12/29/11

 
  

Special Edition health lines BULLETIN - Important News and Reminders for 2012 New!

Click here to read UCare's health lines BULLETIN, special edition, regarding changes, updates, and reminders for 2012. One of the news updates is UCare has been selected as PMAP and MinnesotaCare choice for the 7-county metropolitan area beginning 1/1/12. Download a copy of the special edition today!

Posted 12/20/11

 
 

2012 Medical and Behavioral Health Authorization/Notification Grids Now Available! New!

UCare's medical and behavioral authorization grids for 2012 have just been posted in the "Authorization and Notification Grids" web page. For your convenience, you can click on the links below to view the authorization/notification grids and also read a special message from UCare's Chief Medical Officer (CMO), Russ Kuzel, M.D.

A Message from UCare's CMO:

› To All Providers

› DME only

› Home Health Care only  

 

2012 Authorization/Notification Grids

 Prior Authorization/Notification Grid for Medical Services 

› Pre-Notification/Authorization Grid for Mental Health/Chemical Dependency Services

 

Posted 12/15/11

 
 

Changes to EW Claims Processing and Adjustments Effective 12/1/11 Please note that this will only affect EW providers in Greater MN.

Effective 12/1/11, all EW service claims (newly submitted and adjustment request claims) for UCare's MSHO and MSC+ members, regardless of DOS, will be submitted to UCare for adjudication rather than the state's system, MMIS. DHS will no longer process EW service claims and adjustment requests for UCare members after 11/30/11.

A letter was sent out on 11/3/11 to all of the EW providers in Greater MN who will be affected by this change. For a copy of the letter, please click here.

Posted 11/4/11
 
 

Changes to UCare Connect Plan in 2012

Beginning Jan. 1, 2012, UCare will be making some changes to the UCare Connect plan. To find out more about the changes to this plan, a health lines BULLETIN has been created to provide you with a high level view of the changes and is now available by clicking on the link above or "health lines BULLETIN" in the navigational pane.

Posted 9/27/11
  
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