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Key reminders for claim submission

As a reminder, providers should be submitting separately for claims that have 2025 dates of service and 2026 dates of service (unless an inpatient or hospital outpatient claim). This will allow the claim adjudication process to perform as intended and expedite payments.

See the Jan. 27 Provider Bulletin for details.

Consumer Directed Community Supports (CDCS) unbundling project reminders

UCare follows the Minnesota Department of Human Services (DHS) guidelines for CDCS and its unbundling project, which introduced additional CDCS claim code modifiers.

See the Jan. 14 Provider Bulletin for details.

January 2026 Health Lines

Learn about the following: UCare Rehabilitation website introduced, Product changes for 2026, Authorization grids released, Coverage policies, Documentation improvement: Cervical cancer, 2026 UCare provider training series, Fraud, waste and abuse reporting reminder and Upcoming holiday.

Read the January 2026 Health Lines.

UCare Provider FAQs Updated 1/20/26

On Dec. 17, 2025, UCare Minnesota was placed into Rehabilitation by order of the District Court, Second Judicial District, County of Ramsey. UCare Minnesota will continue under state regulatory supervision (Rehabilitation) to wind down its operations. Updated FAQs are available by dates of service (DOS)

DOS Dec. 31, 2025, and prior - Rehabilitation

DOS 2026 - Medica

Inappropriate denials of some inpatient services claims

UCare has identified some instances of claims submitted between Sept. 22, 2025, and Dec. 8, 2025, for inpatient services that require authorization have been incorrectly denying. Authorization types that may be impacted by the issue are: acute inpatient rehabilitation, inpatient hospital, long-term acute care (LTAC), skilled nursing facilities (SNF)/nursing facilities (NF)/swing bed (skilled or custodial), substance use disorder (SUD) residential and withdrawal management.

See the Dec. 17 Provider Bulletin for details. 

UCare to discontinue Medicare Supplement plans beginning in 2026

UCare will no longer offer Medicare Supplement (Medigap) plans after Dec. 31, 2025. Coverage for all current UCare Medicare members on Medicare Supplement plans will end on that date. These members will need to choose a new plan for 2026.

See the Dec. 12 Provider Bulletin for details.

UCare to discontinue dual eligible special needs plans beginning in 2026

UCare will discontinue all dual eligible special needs plans or D-SNPs (UCare’s Minnesota Senior Health Options and UCare Connect + Medicare) as of Dec. 31, 2025. UCare and Medica worked diligently with the Centers for Medicare & Medicaid Services (CMS) and the Minnesota Department of Human Services (DHS) to find a path to allow dual members to transition alongside Medicaid and Individual & Family Plans (IFP) products. Due to regulatory constraints and a mis-matched service area between UCare and Medica, the D-SNP transition was not allowed to move forward.

See the Dec. 5 Provider Bulletin for details.

Provider FAQs: Medica and UCare announce an agreement

On Nov. 17, 2025, Medica and UCare announced a definitive agreement for Medica to acquire certain contracts and assets of UCare.

To assist providers with this transition, we have created a list of frequently asked questions.

As more information becomes available, we will update this page.