Skip Ribbon Commands Skip to main content

Provider Manual

UCare's Provider Manual is an extension of your contractual obligations.  Checking it regularly for up-to-date information and reference material is required.  Please reference Chapter 1 for an outline of Provider responsibilities beyond your contract.  

1. Introduction to UCare 

Updated September 2013

10. Hospital Services

Updated September 2013​

19. Culturally Responsive Care

Updated September 2013 ​

2. Member Enrollment & Eligibility

Updated September 2013

11. Interpreter Services

Updated September 2013

20. Delegated Business Services

Updated September 2013​

3. Sales & Marketing

Updated September 2013 ​

12.Transportation Services  

Updated September 2013

21. Point-of-Service (POS) - UCare for Seniors

Updated September 2013 ​

4. Benefits Overview

Updated September 2013 ​

13. Provider Resources for Child & Teen Checkups and Blood Lead Testing

Updated September 2013 ​

22. Compliance and Fraud, Waste, and Abuse

Updated September 2013 ​

5. Authorization & Notification Standards  

Updated September 2013 ​

14. Obstetrics and Gynecology

Updated September 2013 ​

23. Medical Necessity Criteria

Updated September 2013 ​

6. Claims and Payment  

Updated September 2013 ​

15. Comprehensive Outpatient Rehabilitation Facility Services

Updated September 2013 ​

24. Clinical Practice Guidelines

Updated September 2013​

7. Nursing Facility Services

Updated September 2013

16. Quality Program

Updated September 2013 ​

25. Health Promotion Programs

Updated September 2013 ​

8. Home Care Services

Updated September 2013

17. Provider Enrollment

Updated September 2013 ​

26. HCBS Waiver Services

Updated September 2013 ​

9. Public Health Services

Updated September 2013 ​

18. Member Complaints, Appeals & Grievances

Updated September 2013 ​

27. Restricted Recipient Program 

Updated September 2013