Manage Your Information
All providers (practitioners and locations) must be enrolled with the Minnesota Department of Human Services (DHS) before enrolling or requesting an update with UCare. If a provider is not already enrolled, please visit the below link to enroll with DHS.
Minnesota Department of Human Services Enrollment Process
- If you enroll with DHS using an NPI for a service, you should enroll with UCare using the NPI.
- If DHS issues an UMPI for a service, you should enroll with UCare using the UMPI.
Once enrolled with DHS, follow the applicable process listed below when you need to add, update or term a location/facility or practitioner.
IMPORTANT:
- Incomplete forms will be returned without processing.
- You will be notified via email when the process is complete. Please allow 60 calendar days.
- Claim submission prior to enrollment notification will result in claims being denied, rejected or processed as out of network.
- For multiple locations, a Facility Add Form must be completed for each location, along with a completed W-9 form.
- For status updates, please contact UCare's Provider Assistance Center at 612-676-3300 or toll-free at 1-888-531-1493.
Additional resources for working with UCare are available on the Training & Education page.
Facility Add Form - Add a facility or location
IMPORTANT: Enroll in UCare’s Claim Payment System using the above Facility Add Form.
Facility Change Form - Change or update your facility profile (tax ID, legal name, ownership, address, phone, NPI)
Disclosure of Ownership (DOO) Form (Complete this form if your update is a result of a change of ownership)
Facility Close Form - Remove an organization or close a location
I-SNP Add and Update Template
This form is for UCare Advocate plan partners to add, update or remove participating facilities to their network.
NOTE: Once a new location is added to UCare’s payment system, set your Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) preferences in the UCare Provider Portal by completing the “Provider Payment and Remittance Request” form.
- If you don’t select, UCare will send paper checks and paper remittance (EOP) by default.
Option 1 – Preferred Option
UCare uses an online tool that allows its contracted providers to view information on file with UCare and make changes if needed.
Examples of the changes that can be made are:
- Add an existing UCare credentialed practitioner or selected non-credentialed practitioner* to an additional practice location.
- Remove a practitioner from a practice location.
IMPORTANT: This application cannot be used for adding new locations or facility/location changes, new practitioners, non-credentialed practitioners*, except as noted. Use the proper form in the drawers below to make these types of changes.
*Non‐credentialed provider specialties: audiologists, certified registered nurse anesthetist (CRNA), nutrition, occupational therapists, physical therapists, speech therapists, anesthesiology, hospital‐based practitioners (not including hospital‐based psychiatrists or hospitalists) and radiologists.
Login | User Guide
Option 2
Email the MN Uniform Practitioner Change Form to credentialinginfo@ucare.org or fax: 612-884-2184.
Step 1
See providers who do not require credentialing.
Step 2
Non-credentialed practitioners need to complete the Add or change a non-credentialed practitioner form.
Personal Care Attendant (PCA) or Community First Services and Supports (CFSS)
PCA UMPI Change Form
NOTE: We no longer require a separate PCA form for most individual PCAs to be enrolled in UCare, as we are now using the DHS PCA file to enroll DHS-approved PCAs. If your facility is enrolled with UCare and the individual PCA is enrolled with DHS, you should not need to submit any additional forms. If you have questions about the enrollment status of a specific PCA, please contact the Provider Assistance Center (PAC) for verification.
Elderly Waiver
To be added in our system for claims processing, you will need to complete the Add a facility or location form
To update your information, complete the appropriate form below:
Change or update your facility tax ID, legal name, address, NPI/UMPI
Remove an organization or close a location
Interpreter
Interpreter - Add, change, remove
Transportation
QRyde User - Add, Remove, Change
NOTE: Once a new location is added to UCare’s payment system, set your EFT and ERA preferences in the UCare Provider Portal by completing the “Provider Payment and Remittance Request” form.
- If you don’t select, UCare will send paper checks and paper remittance (EOP) by default.
If you contract with a third party to work with UCare on your behalf, we need a signed acknowledgement form on file giving UCare permission to release information.
If you are using a third party to assist with the following functions:
- Contracting/Fee Schedule
- Provider Demographic changes
- Credentialing
- Financial Reporting
Please complete the UCare Provider NDA Attestation (PNM) form.
If you are using a third party to assist with any other functions, such as member eligibility, prior authorizations, claims, appeals and disputes (see form for more examples), please complete the Third-Party Agreement Notification Form.
If your agreement with your designated third party allows them to work with UCare on multiple issue types, it may be necessary to complete both forms.