Policies & Resources
Resources to help you work with UCare members:
Critical Business Reminders
Explanation of Payment (EOP) Provider Guide
Payment Policies
Current Provider Portal Quick Reference Guide
New Provider Portal Quick Reference Guide
Provider Field Representative Territory Map
Provider Key Contact Information
Provider News
Provider Product/Benefit Tip Sheets
Quality Complaint Reporting Form
Rate Letter Submissions
Resources for Electronic Transactions
Special Transportation Certificate of Need (Use this form if your member has mobility issues and needs special transportation that requires driver-assisted services.)
Working with UCare - Quick Reference Guide
Visit the Claims & Billing web page for Claims-related Forms & Links, resources for electronic transactions, information for clearing houses, non-contracted providers, third-party billing, payment and remittance, and taxonomy.
Birth Notification Form for Prepaid Medical Assistance Plan and MinnesotaCare members
Care Coordinator: How to Find a Member’s Care Coordinator
Care Coordinator: Using Health Plan Care Coordinators at Admission & Discharge
Child & Teen Checkups
Clinical Practice Guidelines
Critical Business Reminders
Denial Notice Forms
Disease Management
Medical Necessity Criteria
Model of Care Training for Providers
Nursing Facilities Liability Letters
Nursing Home Swing Bed Admission/Update Form
Quality Complaint Reporting Form
Quality Initiatives
Search Provider Network
Skilled Nursing Facility: Nursing Facility Communication Form for MSHO, MSC+, UCare Connect and UCare Connect + Medicare health plans.
Special Transportation Certificate of Need (Use this form if your member has mobility issues and needs special transportation that requires driver-assisted services.)
The following page is intended for use by Community Education Discount Program partners.
Community Ed Discount Program
At UCare, we work with counties to identify and respond to the health needs of our members.
County Resources
Culture Care Connection
Multilingual Health Resource Exchange - use "ucare" for both username and password
Quick Quiz Implicit Bias in Health Care
The Impact of Racism on Child and Adolescent Health
Think Cultural Health
UCare has many programs and services to help our members lead a healthy lifestyle.
Dental: Benefits Information
Dental: Mobile Dental Clinic
Eyewear Coverage for Minnesota Senior Health Options and UCare Connect + Medicare members (see Provider Manual).
Health & Wellness (member page)
UCare’s Mental Health and Substance Use Disorder Access Line
Following are resources for interpreters to use when working with members.
Add, Update or Remove an Interpreter
Interpreter Attestation - Attestation documentation must be kept on file and available upon request by UCare within 10 days of request.
Interpreter Mileage Request Form
Interpreter Overview PowerPoint - The interpreter service agency must require that each individual interpreter review the UCare Provider Manual overview PowerPoint yearly.
Interpreter Quarterly Report - (Open Excel document, then save a copy to your own computer for your use.)
Place of Service Codes
For more information about Interpreter Services, please refer to the UCare Provider Manual.
Provider resources and services for Mental Health and Substance Use Disorders.
Visit the Non-Contracted Provider Resources webpage for more information.
Find drug coverage for each UCare health plan and forms to request exceptions or authorizations on our Pharmacy page.
Find medical injectable drug prior authorization information for each UCare health plan and forms to request authorizations on our Pharmacy page.
The Formularies page on the UCare provider website shows which drugs are covered, as well as everything you need to request exceptions or prior authorization.
Real-time Part D Vaccine claims using TransactRX
UCare has collected the most commonly used Provider Forms in one place. Visit the Provider Forms page.
UCare's Provider Manual is an extension of your contractual obligations. Checking it regularly for up-to-date information and reference material is required.
UCare's Provider Manual
(updated March 28, 2024)
The following page is intended for use by contracted SEATS partners.
SEATS
UCare offers a variety of training and education resources to assist providers in working with UCare members.
Following are resources for transportation providers to use when working with members.
Accident Reporting Form
Driver and Vehicle Roster File
Health Ride Provider Profile Form
Special Transportation Services - Certificate of Need (Use this form if your member has mobility issues and needs special transportation that requires driver-assisted services.)
STS Ride Notification Template
Trip Log for Common Carriers
Trip Log for Special Transportation Services (STS)
For more information about Transportation Services, please refer to the UCare Provider Manual.