Our Provider Network Management site is your resource for the latest UCare information, including our provider manual, authorization guidelines, and drug formulary. And we're proud to introduce Access UCareSM , our secure providers-only site. Use Access UCare to verify eligibility, search the provider network, and check the status of a claim or referral/authorization. Access UCare User Guide
Provider Assistance Center: 612-676-3300 or 1-888-531-1493 (toll free)
We can help answer your questions and we're just a phone call away. [Note: In order to identify you and locate your information quickly our PAC Representatives will ask you for your NPI Number(s) and/or Federal Tax ID Number(s).]
***ALERT: If you are prompted to login when trying to open and/or download a file from our website, please click "Cancel" and the file will open. We are working to resolve this issue. |
› Non-Participating Provider Contract Requests
› 2009 Prior Authorization/Notification Grids Now Posted *New*
|
12/26/08 Interactive Voice Response (IVR) System *New*
Staying consistent with UCare's commitment to provide excellent service to you as a valued provider, UCare has launched an IVR system to offer our providers the opportunity to use self-service features to verify a member’s eligibility or to check the status of a claim. Using your touch tone phone, you will have easy access to a provider’s two most common questions 24 hours a day, 7 days a week.
- For quick service of eligibility inquiries, have the individual’s personal member identification (PMI) or UCare member ID number and their date of birth ready.
- For quick service on claim status inquires, have your NPI number, UCare member ID, and the claim date of service information ready. |
› WebEx January 2009 Schedule Now Posted *New*
|
Providers offering EW services to metro area MSC+ enrollees must bill UCare for payment in 2009 *New*
Minnesota Senior Care Plus (MSC+) will replace Minnesota Senior Care (MSC) in the seven county metro area. UCare is one of five health plans that DHS currently contracts with to provide health care services to MSC+ members. Recipients eligible for Elderly Waiver (EW) services receive authorization and care coordination of waiver services for MSC+ through UCare or UCare’s delegate. Providers offering EW services to MSC+ enrollees must bill UCare for payment. |
|
UCare’s Plan Design Changes Summary 2009 *New*
Announcing UCare’s Plan Design Changes Summary 2009 for Medicare Advantage, UCare Connect, UCare Complete and Minnesota Senior Health Options (MSHO) effective 01/01/09.
› For more information please click here |
› health lines *Fall 2008 Edition* Now Available *New*
› health lines BULLETIN: Coding Structure for Chemical Dependency Services *New*
› 2008 Year End Blood Lead Screening Test Incentive Program *New*
› Attached Specification Sheet
› UCare OTC Medication Formulary *New*
› Special Needs Plans Overview
|
Notice: Effective 10/01/08 Change in Medicare Part D Vaccine Administration Reimbursement *New*
The Center for Medicare and Medicaid Services (CMS) set forth changes to the payment policy for the administration costs associated with Medicare Part D covered vaccines beginning 01/01/08. This change requires the payment for the administration costs associated with Part D covered vaccines to be submitted to the Part D plan for reimbursement.
› For more information please click here |
|
Notice: UCare partners with Edgepark Medical Supplies *New*
UCare is pleased to announce our new partnership with Edgepark Medical Supplies to provide nationwide home delivery of medical supplies to all of our members. Edgepark, a family owned, independent home medical supplier, offers outstanding service and value, as well as quick and convenient access to an inventory of more than 30,000 high-quality medical supplies.
› For more information please click here |
|
Notice: Notification of Change in P.O. Box Number for Paper Claim Submission
A new P.O. Box number has been created to streamline our administrative processes. Effective immediately, please submit paper claims to the following:
CLAIM MAILING ADDRESS:
UCare
Attn: Claims
P.O. Box 70
Minneapolis, MN 55440-0070
CLAIM ADJUSTMENT MAILING ADDRESS:
UCare
Attn: Claims
P.O. Box 405
Minneapolis, MN 55440-0405
|
|
Attention: Contracted Personal Care Attendant Organizations and PCA Choice Providers *New*
RE: Billing PCA services using NPI & UMPI numbers
Effective October 1, 2008, UCare will require all Personal Care Attendant (PCA) providers to start billing with the individual UMPI numbers for each of their PCA's. See below for more information outlining the requirements when billing for these services.
› For more information please click here |