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Welcome UCare Providers

Care Coordination Resources

Minnesota Senior Health Options (MSHO)

UCare's resources are sorted by category in the following drawers and meant to help you work with our members.
Click a drawer to open it and access the resource links.


For more resources on UCare's other products, please select a plan from the drop down menu and click Change Plan to view.

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PCA Assessment Request Form

  • Used by the PCA agency when a member is due for their annual PCA assessment and must send it 60 prior to the end of the PCA authorizations.

PCA Communications Form (Revised 10/25/2023)

  • Used when a DTR needs to be issued for services or an assessment (i.e., Early assessment, Refusal or Unable to reach).
  • Member has selected a PCA provider agency.
  • Used to approve or DTR extended PCA services.
  • Used when the CC is reporting a change or new PCA provider agency.
  • Approve 45 day temp start/Increase of PCA services.

PCA Coverage Policy (The PCA provider agency is required to notify UCare of a provider change however, the care coordinator may report this information to UCare in behalf of the provider).

  • Used by providers when a member changes to a different PCA provider agency.
  • Used by providers when a member previously had not selected a PCA provider agency at the time of the assessment but has now made their selection.

PCA Provider Change Request Form
PCA Transfer Form

  • Used to request a transfer of a PCA Authorization from another health plan to UCare.