Provider News

Partnership with Nokomis Health for claim audits

UCare partners with Minnesota-based Nokomis Health to perform post-payment claim audits to ensure accuracy across claim submissions. Nokomis Health is dedicated to supporting health plans in identifying potential claims submission errors.

See the Oct. 20 Provider Bulletin for details.

Housing Stabilization Services (HSS) program ending Oct. 31, 2025

On Aug. 1, 2025, Minnesota Department of Human Services (DHS) announced they will be terminating the Housing Stabilization Services (HSS) Program due to large-scale fraud. This provider bulletin explains what providers may experience at UCare with the termination of the program

See the Oct. 20 Provider Bulletin for details.

Reminder: UCare requires authorization of recuperative care that exceeds 21 days; new authorization form available

Providers must request authorization when a UCare member requires recuperative care services greater than 21 days within the calendar year. This includes any readmission to recuperative care services for the same or a new diagnosis. Claims for days 22 or beyond that have not been authorized will result in denial. Additionally, UCare has a new authorization form that can be used for recuperative care authorizations.

See the Oct. 17 Provider Bulletin for details.

Pharmacy formulary and benefit changes for 2026

The 2026 UCare formularies and other pharmacy-related documents are now available on the Pharmacy page. The formularies are subject to change throughout the year and are updated on the first of each month.

See the Oct. 15 Provider Bulletin for details.

October 2025 Health Lines

Learn about the following: Frequently asked question, 2025 UCare Provider Manual Q4 update, Ineligible Provider List updated October 6, 2025, Quit Smoking and Vaping Program for maternity, Documentation improvement: major depressive disorder, Training for participating providers working with UCare, Fraud, waste and abuse reporting reminder, UCare provider news emails and upcoming holidays.

Read the October 2025 Health Lines.

Minnesota Department of Human Services (DHS) preferred drug list update

On Oct. 15, 2025, DHS will update the preferred drug list (PDL). These changes apply to UCare Medical Assistance (non-dual) plans. See bulletin for details.

See the Oct. 6 Provider Bulletin for details.

No change to vaccine coverage for UCare members

UCare understands the importance of vaccines and is making no changes to coverage for any vaccines. Vaccines, including the COVID-19 vaccines, will continue to be covered for all UCare plans.

UCare announces 2026 service area updates for UCare Connect + Medicare

UCare has made the difficult but necessary decision to adjust the service area of UCare Connect + Medicare (integrated, Special Needs BasicCare) beginning Jan. 1, 2026. This decision was part of a strategic roadmap established earlier in 2025 to ensure financial sustainability and mission continuity.

See the Oct. 1 Provider Bulletin for details.

Partnership with ClarisHealth for data mining and audits

UCare partners with ClarisHealth to perform post-payment claim audits to optimize payment accuracy across provider claim submissions. ClarisHealth specializes in data mining and claim review to identify and recover funds from incorrectly coded or billed claims, and claims that don’t adhere to published Centers for Medicare and Medicaid Services (CMS) and the Department of Human Services (DHS) standards and guidance.

See the Sept. 22 Provider Bulletin for details.

Updated prior authorization criteria for drugs on the Individual and Family Plans formulary

On Nov. 1, 2025, UCare will update prior authorization criteria for a drug on the UCare Individual & Family Plans and UCare Individual & Family Plans with M Health Fairview formulary.

See the Sept. 16 Provider Bulletin for details.

UCare to suspend certain Medicare Advantage products beginning in 2026

UCare has made the difficult decision to no longer offer any Medicare Advantage HMO, POS, PPO or Group Medicare products beginning Jan. 1, 2026. This also includes the EssentiaCare product. This step reflects rising medical and pharmacy costs that have made it increasingly difficult to sustain these products while protecting UCare’s overall stability and mission.

UCare is committed to keeping providers informed and supported during this transition. UCare is developing a frequently asked questions (FAQ) webpage with guidance to address questions. The FAQs will be updated as new information becomes available.

See the Sept. 5 Provider Bulletin for details.

Critical non-emergency medical transportation (NEMT) claim submission reminders

When submitting claims for NEMT, remember the tips related to each type of claim outlined in the following bulletin.

See the Sept. 2 Provider Bulletin for details.

Updated information about PCA and CFSS enhanced rates and tiered rates

UCare follows MN DHS guidance. See the revised Provider Bulletin for enhanced rate and tiered rate reminders, including how to bill, qualifying training and more.

See the Aug. 20 bulletin.

UCare to implement new pricing software for UCare IFP claim payments

Starting Oct. 1, 2025, UCare will use a third-party pricing software to calculate pricing on most professional services claims for UCare Individual and Family Plans claims

See the Aug. 15 Provider Bulletin for details.

2025 UCare enrollment changes for Medical Assistance

At the beginning of 2025, UCare and the Minnesota Department of Human Services (DHS) agreed to temporarily freeze UCare’s new enrollment in Prepaid Medical Assistance Program (PMAP) in all counties except Hennepin County to mitigate financial losses and constraints. The freeze was expected to result in gradual enrollment losses throughout 2025. However, members continue to enroll at higher rates than anticipated and medical expenses continue to increase significantly. As a result, UCare and DHS agreed to further freeze enrollment in PMAP, MinnesotaCare and Special Needs BasicCare (SNBC) UCare Connect, as well as reduce UCare’s service area for PMAP and MinnesotaCare beginning Sept. 1, 2025.

See the July 9 Provider Bulletin for details.

Authorization and notification requirements update

Effective Aug. 1, 2025, UCare will make several changes to the prior authorization and notification grids.

See the June 12 Provider Bulletin for more details on the services, requirements and products that will see these changes.

2025 Q1 UCare Provider Manual Released

The Q1 UCare Provider Manual was updated to reflect current business practices.

Visit the UCare Provider Manual page for the most up-to-date version.

Critical Business Reminders

UCare provides Critical Business Reminders annually to update our provider network on important business information. View our updated Critical Business Reminders webpage here. You'll find updates to the credentialing and recredentialing process, pharmacy section, Complex Case Management Program referral process, utilization management (UM), affirmative statement, how to request UM criteria and obtain access to UM staff, Member Rights and Responsibilities, links to shared decision-making (SDM) resources and links to training and resources on culturally congruent care.

See July 10 Provider Bulletin for details.

News Archive

To find a specific provider communication, use the “Document Name,” “Date Published” or “Communication Type” columns or enter a key word in the search box.

Document Name	Date Published	Communication Type
Effective January 1, 2016: Taxonomy Codes Required	2015-12-01	Bulletin
Frequently Asked Questions regarding Advanced Notices of Non-Coverage	2015-12-28	Bulletin
Discontinue use of Advance Beneficiary Notice of Non-coverage (ABN) or an ABN-like form	2015-01-26	Bulletin
New Pricing Tool Implementation: Inpatient Skilled Nursing Facility Prospective Payment System	2016-09-30	Bulletin
SNF Pricing Tool Implementation	2016-09-30	Bulletin
Notice of Ucare Implementation of Medicare Facility LCD/NCD Policies	2017-12-19	Bulletin
Notice of UCare Implementation of Medicare Pricing Software	2017-01-18	Bulletin
FAQ Taxonomy Code Requirement Effective March 1, 2017	2017-02-09	FAQ
Update on Taxonomy Code Requirements	2017-02-09	Bulletin
Taxonomy Codes Required on Crossover Claims	2017-05-30	Bulletin
UCare 2018 Authorization and Notification Requirements Available	2017-11-15	Bulletin
For Coders and Billers: Billing for Part B Vaccines and Immunizations	2018-08-27	Bulletin
UCare to Implement Home and Community-Based Services Billing Changes	2018-06-29	Bulletin
Updates to SPP Mental Health Services Claim Processes	2018-03-01	Bulletin
UCare Announces Changes Affecting Claims Editing for UCare Choices Plans Beginning Jan. 1, 2019	2018-11-29	Bulletin
Billing Reminders for Home Infusion Services	2019-01-15	Bulletin
UCare to Introduce Online Submission of Claim Reconsideration Requests for Adjustment/Appeals and Recoupments	2019-05-15	Bulletin
Reminder for Billing Services From Indian Health Services or 638 Facilities	2019-05-08	Bulletin
MinnesotaCare Tax Changing Jan. 1, 2020	2019-11-13	Bulletin
Hospital Interim Claims Billing	2019-11-14	Bulletin
Off-campus Provider-based Hospital Department Services	2019-11-22	Bulletin
CORRECTION: Coding Changes for Adults and Children's Mental Health Crisis Response Services for UCare State Public Programs Products	2019-10-7	Bulletin
Partial Hospitalization Claims Update Being Implemented at Clearinghouse Level	2019-09-16	Bulletin
Withdrawal Management Added to Mental Health and Substance Use Disorder Services	2020-04-07	Bulletin
ARMHS Notification Frequently Asked Questions	2020-08-28	Bulletin
FAQs on New ARMHS Notification Requirement	2020-08-28	Bulletin
Early Intensive Development and Behavioral Intervention Claims Payment	2020-12-14	Bulletin
Notification Requirements Update Outpatient SUD Services	2020-06-05	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2021-04-12	Bulletin
2021 Summer Camps Available for Young UCare Members	2021-04-29	Bulletin
Monoclonal Antibody Treatments for COVID-19	2021-04-06	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2021-08-12	Bulletin
Notification Requirements Reminder Adult Rehabilitative Mental Health Services	2021-08-02	Bulletin
2022 Code and Editing Updates	2021-12-10	Bulletin
No Surprises Act	2021-12-15	Bulletin
REVISED: Important Reminders About UCare's Taxonomy Requirements	2021-12-16	Bulletin
UCare Welcomes Former Blue Plus Members From Ramsey and Scott Counties	2021-12-17	Bulletin
Specialty Provider Referrals for Restricted Recipients	2021-12-20	Bulletin
Updated 2022 Medical Services Authorization and Notification Grids	2021-12-27	Bulletin
Information For Transportation Providers Regarding UCare’s New Member ID Format	2021-12-27	Bulletin
UCare to Offer Supplemental Eyewear Coverage Through Eye-Kraft for UCare's Minnesota Senior Health Options (MSHO) and UCare Connect + Medicare Members	2021-12-09	Bulletin
Eye-Kraft/UCare Supplemental Eyewear Benefit FAQs	2021-12-09	FAQ
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary February 15, 2021	2021-02-15	Bulletin
REMINDER UCare Medicare Part D Vaccine Information	2021-02-04	Bulletin
New Prior Authorization Requirement for Victoza and Nubeqa	2021-01-15	Bulletin
All UCare Providers: Critical Business Reminders	2021-07-22	Bulletin
Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2021-07-07	Bulletin
License Requirements for Customized Living Services Will Change August 1	2021-07-08	Bulletin
Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2021-06-11	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary March 10, 2021	2021-03-10	Bulletin
REMINDER: Medicare Services Must Be Provided and Billed by Eligible Medicare Provider Types	2021-03-31	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2021-05-11	Bulletin
Medical Benefit Drug Prior Authorization for 2022	2021-11-12	Bulletin
Pharmacy Formulary and Benefit Changes for 2022	2021-11-12	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2021-11-15	Bulletin
Changes to 2022 Part D Vaccine Billing for MSHO and Connect + Medicare	2021-11-12	Bulletin
EIDBI Claim Payment Reminder	2021-10-1	Bulletin
UCare 2022 Medicare Plans Earn 5-Star Rating from CMS	2021-10-13	Bulletin
FDA Announces Chantix Recall	2021-10-14	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2021-10-14	Bulletin
Medical and Pharmacy Benefit Duplicate Payments and Recoupment Process	2021-10-15	Bulletin
New Provider Identification Requirements for Elderly Waiver, Housing Stabilization Services, Personal Care Attendants and Transportation Providers for Claims Submissions Beginning Jan. 1, 2022	2021-10-28	Bulletin
UCare Announces Changes Affecting Claims Submissions for UCare Medicaid and Integrated Duals Plans Beginning Jan. 1, 2022	2021-10-28	Bulletin
Updated Quantity Limits (QL) for Continuous Glucose Monitors on all UCare Formularies	2021-07-20	Bulletin
Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2021-09-10	Bulletin
1115 Substance Use Disorder (SUD) Demonstration Implementation	2021-09-24	Bulletin
2022 Summer Camps Available for Young UCare Members	2022-04-12	Bulletin
Updated Email Requirements for Multiple Claims Inquiries	2022-04-18	Bulletin
Authorization and Notification Requirements Update: Withdrawal Management	2022-04-18	Bulletin
Some 277CA Files To Be Re-Transmitted	2022-04-21	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2022-04-08	Bulletin
Important: New Requirement for Non-Emergency Transportation Providers Expecting Rural Urban Commuting Area (RUCA) Adjustments Add-ons	2022-08-18	Bulletin
Medical and Pharmacy Benefit Duplicate Payments and Recoupment Process Reminder	2022-08-19	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2022-08-15	Bulletin
UPDATE on CARC and RARC For Rural Health Clinic (RHC) Carve-out Services	2022-08-26	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2022-12-22	Bulletin
340B Drug Payment Changes	2022-12-07	Bulletin
CMS Crossover Durable Medical Equipment (DME) Claims Not Sent to UCare for Payment	2022-12-07	Bulletin
2023 Code and Editing Updates	2022-12-08	Bulletin
Additional Claims Payment Run Temporarily Added	2022-02-25	Bulletin
Revised: Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2022-02-15	Bulletin
Claims Reprocessing to Correctly Report MinnesotaCare Tax as Separate Adjustments	2022-02-28	Bulletin
Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2022-02-09	Bulletin
Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2022-01-13	Bulletin
Reminders for Smoother Claim Submissions	2022-01-13	Bulletin
Updates and Reminders to Avoid Claim and Claim Line Denials	2022-01-18	Bulletin
Updates on Claim Payment for Medicaid and Dual Plans	2022-01-31	Bulletin
Medicare Eyewear Allowance Changes for 2022	2022-01-04	Bulletin
UCare Claims Rejection Analysis, Reminders and Requests	2022-01-06	Bulletin
UCare Critical Business Reminders	2022-07-01	Bulletin
Reminder: How to Handle Denials with a CARC and RARC Combination Containing LCD Denials	2022-07-12	Bulletin
Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2022-07-13	Bulletin
Temporary 5% Rate Increase for Personal Care Assistants (PCAs)	2022-07-05	Bulletin
UCare Fax Service to be Temporarily Unavailable	2022-06-16	Bulletin
UCare Updates Regarding 1115 Substance Use Disorder System Reform Demonstration	2022-06-21	Bulletin
UCare to Rollout New Prior Authorization Process for Acupuncture Services in August	2022-06-21	Bulletin
FDA Approval of Ukoniq Withdrawn Due to Safety Concerns	2022-06-22	Bulletin
Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2022-06-22	Bulletin
UCare Implements Virtual Hold for Providers	2022-06-23	Bulletin
UCare to Deny Claims When Comprehensive Procedure Code is Not Applied	2022-06-07	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2022-03-23	Bulletin
Practitioner Credentialing and Claims Setup	2022-05-12	Bulletin
Additional Claims Payment Run Has Ended	2022-05-12	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2022-05-17	Bulletin
Inappropriate Rejection of Some PCA Claims	2022-05-18	Bulletin
Transportation Services for Medical Appointments	2022-05-02	Bulletin
Appointment Availability Assessments	2022-05-20	Bulletin
Reminder for Billing Home Health Care Services	2022-11-14	Bulletin
Medical Benefit Drug Prior Authorization for 2023 and Preferred Product Step Therapy Information	2022-11-15	Bulletin
Pharmacy Formulary and Benefit Changes for 2023 Effective January 1, 2023	2022-11-15	Bulletin
Addressing Disability and Creating Access: Understand and Remove Barriers	2022-11-17	Bulletin
Reminder: UCare Medicare Part D Vaccine Information	2022-11-28	Bulletin
UCare Transitions to New Provider Portal	2022-11-07	Bulletin
2023 Authorization and Notification Requirements Now Available	2022-11-09	Bulletin
Update Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2022-11-10	Bulletin
Personal Care Assistance (PCA) Service Reminders	2022-10-25	Bulletin
Update Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2022-10-14	Bulletin
Utilize Age-Friendly Policies and Practices to Combat Ageism at Work	2022-10-18	Bulletin
FDA Announces Recall of Magnesium Citrate Saline Laxative Oral Solution	2022-09-01	Bulletin
Update Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2022-09-13	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2023-04-11	Bulletin
2023 Summer Camps Available for Young UCare Members	2023-04-17	Bulletin
Early Intensive Development and Behavioral Intervention (EIDBI) Claims Payment Reminder	2023-08-14	Bulletin
REVISED Early Intensive Development and Behavioral Intervention (EIDBI) Claims Payment Reminder	2023-10-09	Bulletin
Reminder: Complete the Disclosure of Ownership, Control and Management Information and Exclusions Statement for Providers Form	2023-08-04	Bulletin
2024 Code and Editing Updates	2023-12-01	Bulletin
MinnesotaCare Tax Changing Jan. 1, 2024	2023-12-20	Bulletin
Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2023-02-17	Bulletin
2023 Editing Update For Laboratory Services	2023-02-24	Bulletin
UCare Announces Updates to Transplant Services Notification Form and Process	2023-01-23	Bulletin
Updated Prior Authorization Criteria for Drugs on the Individual and Family Plans Formulary	2023-01-20	Bulletin
Updated Prior Authorization Criteria for Drugs on the IFP Formulary	2023-07-14	Bulletin
Medical Assistance and MinnesotaCare Disenrollments Begin Aug. 1	2023-07-24	Bulletin
UCare Critical Business Reminders	2023-07-05	Bulletin
Children’s Residential Treatment Authorization and Notification Requirements Temporarily Changed for Individual and Family Plan Members	2023-07-06	Bulletin
Expedited Appeal Requests Reminder	2023-07-07	Bulletin
Inpatient Hospital Readmission Payment Policy Updated	2023-06-01	Bulletin
Annual Reminder: Providers Should Complete Disclosure of Ownership, Control and Management Information and Exclusions Statement for Providers Form	2023-06-02	Bulletin
Discussing a Pre-Service Denial With a Reviewer	2023-03-14	Bulletin
UCare to Use Electronic Visit Verification	2023-03-17	Bulletin
UCare Temporarily Changes Post-Acute Care Authorization and Notification Requirements	2023-05-16	Bulletin
Provider Enrollment With Minnesota Health Care Programs	2023-05-17	Bulletin
Appointment Availability Assessments	2023-05-22	Bulletin
End to COVID-19 Public Health Emergency	2023-05-23	Bulletin
Redeterminations and Renewals	2023-05-08	Bulletin
Medical Drug Prior Authorization for 2024 and Preferred Product Step Therapy Information	2023-11-10	Bulletin
Pharmacy Formulary and Benefit Changes for 2024	2023-11-10	Bulletin
UCare Selects Navitus Health Solutions As New Pharmacy Benefit Manager for 2024	2023-11-10	Bulletin
Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2023-11-10	Bulletin
2024 Authorization and Notification Requirement Grids Now Available	2023-11-13	Bulletin
UCare to Implement Six Month Timely Filing of Claims for MHCP Products	2023-11-14	Bulletin
UCare to Implement Outpatient Hospital Pricing Software and Select Inpatient Post-Payment Claim Reviews	2023-11-16	Bulletin
Enhanced Security Through Multi-Factor Authentication	2023-11-07	Bulletin
2024 Product and Benefit Changes	2023-11-08	Bulletin
UCare Individual and Family Plans 2024 Plan Year Benefit Expansion: Addition of Doula Services	2023-10-02	Bulletin
Submitting Claims for Services with Authorizations	2023-10-30	Bulletin
Authorization and notification requirements update: Adult Rehabilitative Mental Health Services	2024-10-23	Bulletin
Pharmacy formulary and benefit changes for 2025	2024-10-31	Bulletin
2025 product and benefit changes	2024-11-04	Bulletin
Important reminders and updates for UCare interpreter providers	2024-11-01	Bulletin
Updates on claim payment for UCare Individual and Family Plans: Greater transparency in MinnesotaCare tax payments	2024-11-06	Bulletin
2025 authorization and notification requirements	2024-11-15	Bulletin
2025 code and editing updates	2024-12-05	Bulletin
UCare introduces new trading partner for electronic transactions	2024-12-13	Bulletin
Extension of three-month personal care assistance service agreements	2024-12-18	Bulletin
Updated prior authorization criteria for drugs on the UCare Individual & Family Plans and UCare Individual & Family Plans with M Health Fairview Plans formulary	2024-12-19	Bulletin
Reminder for billing Behavioral Health Home services	2024-04-01	Bulletin
Updated prior authorization criteria for drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans formulary	2024-04-24	Bulletin
Minnesota Department of Human Services transitioning Personal Care Assistance to Community First Services and Supports	2024-08-16	Bulletin
Medical drug prior authorization (ePA) request portal update	2024-08-01	Bulletin
Electronic visit verification compliance will go into effect on Sept. 1, 2024	2024-08-23	Bulletin
Updated prior authorization criteria for drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans formulary	2024-02-16	Bulletin
Importance of maintaining accurate provider data	2024-02-02	Bulletin
Updated prior authorization criteria for drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans formulary	2024-02-08	Bulletin
Early Intensive Development and Behavioral Intervention (EIDBI) Claims Payment Update	2024-01-04	Bulletin
All UCare Providers: Critical Business Reminders	2024-07-12	Bulletin
Updated Prior Authorization Criteria for Drugs on the UCare Individual and Family Plans and UCare Individual and Family Plans with M Health Fairview Plans Formulary	2024-07-18	Bulletin
Important reminders and updates for UCare interpreter providers	2024-06-12	Bulletin
Annual reminder: Complete the Disclosure of Ownership, Control and Management Information and Exclusions Statement for Providers form	2024-06-06	Bulletin
Importance of maintaining accurate Provider Directory data	2024-03-12	Bulletin
2024 UCare Provider Manual released	2024-03-29	Bulletin
Billing Providers That Don’t Require Rendering Provider NPI or Taxonomy	2024-05-10	Bulletin
Upcoming Elderly Waiver provider training seminar	2024-05-13	Bulletin
Appointment Availability Assessments	2024-05-16	Bulletin
Updated prior authorization criteria for drugs on the Individual and Family Plans formulary	2024-05-21	Bulletin
Amendment to UCare’s Provider Participation Agreement	2024-05-22	Bulletin
Reminder: Medicaid providers required to enroll with MHCP	2024-05-03	Bulletin
Improper diagnosis coding for acute stroke or myocardial infarction in office	2024-05-31	Bulletin
Terminating a Third-Party Agency relationship	2024-05-06	Bulletin
Orientation sessions available for new medical drug prior authorization (ePA) request portal	2024-09-03	Bulletin
NEW - 2025 UCare provider training series	2025-01-09	Bulletin
Providers experiencing errors on 271 file	2025-01-17	Bulletin
Tips and reminders regarding Nursing Facility Liability Letters	2025-01-22	Bulletin
Medicaid providers required to enroll with Minnesota Health Care Programs (MHCP) – Deadline extended for provider types requiring MHCP site visits	2025-01-28	Bulletin
Durable Medical Equipment (DME) unlisted or enhanced items and supplies reimbursement to change	2025-01-29	Bulletin
New Minnesota provider qualifications for Board-Certified Behavior Analysts (BCBA) requires licensing by state	2025-02-14	Bulletin
2025 UCare Provider Manual	2025-02-24	Bulletin
Authorization and notification requirements update	2025-04-08	Bulletin
Common carrier coding update	2025-04-15	Bulletin
UCare selects Availity as new provider portal partner	2025-04-16	Bulletin
UCare to transition to Encounter Alert System	2025-04-17	Bulletin
UCare to implement Two-Midnight Rule review process on inpatient hospital claim submissions	2025-04-21	Bulletin
UCare partners with Carelon for utilization management of genetic testing authorizations	2025-05-01	Bulletin
Important reminders when billing Elderly Waiver (EW) services	2025-05-08	Bulletin
Enhanced medical drug biosimilar step therapy criteria update	2025-05-15	Bulletin
Ketamine infusion policy	2025-05-15	Bulletin
Medical drug predetermination review process	2025-05-15	Bulletin
Self-administered drug exclusion on medical benefit	2025-05-15	Bulletin
Supervising provider information	2025-05-27	Bulletin
Billing for hearing aid or assisted listening device, supplies, accessories, not otherwise specified	2025-06-02	Bulletin
Criteria clarification related to new Intracept authorization reviews	2025-06-09	Bulletin
Authorization and notification requirements update	2025-06-12	Bulletin
UCare seeks health care providers to serve on committees	2025-06-18	Bulletin
Requesting Community First Services and Supports (CFSS) reassessments	2025-06-30	Bulletin
UCare to retire legacy Provider Portal	2025-07-01	Bulletin
2025 UCare enrollment changes for Medical Assistance	2025-07-09	Bulletin
All UCare providers: Critical Business Reminders	2025-07-10	Bulletin
UCare closes legacy Provider Portal	2025-07-22	Bulletin
2025 UCare enrollment changes for Medical Assistance FAQs	2025-07-25	FAQ
Authorization and notification requirements update: Acute Inpatient Hospitalization	2025-07-28	Bulletin
UCare introduces new forms submission process	2025-07-28	Bulletin
Changes in diabetic testing supply coverage	2025-07-31	Bulletin
UCare transitions to Encounter Alert System - FAQs	2025-08-01	FAQ
UCare to implement new pricing software for UCare Individual and Family Plans claim payments	2025-08-15	Bulletin
Information about Personal Care Assistance (PCA) and Community First Services and Supports (CFSS) enhanced rates and tiered rates	2025-08-20	Bulletin
Critical non-emergency medical transportation (NEMT) claim submission reminders	2025-09-02	Bulletin
UCare to suspend certain Medicare Advantage products beginning in 2026	2025-09-05	Bulletin
UCare ending 2025 Optum In-Office Assessment Program for certain Medicare Advantage plans	2025-09-09	Bulletin
Updated prior authorization criteria for drugs on the UCare Individual & Family Plans and UCare Individual & Family Plans with M Health Fairview Plans formulary	2025-09-16	Bulletin
Partnership with ClarisHealth for data mining and audits	2025-09-22	Bulletin
UCare announces 2026 service area updates for UCare Connect + Medicare	2025-10-01	Bulletin
Minnesota Department of Human Services preferred drug list update	2025-10-06	Bulletin
No change to vaccine coverage for UCare members	2025-10-06	Bulletin
Pharmacy formulary and benefit changes for 2026	2025-10-15	Bulletin
Reminder: UCare requires authorization of recuperative care that exceeds 21 days; new authorization form available	2025-10-17	Bulletin
Housing Stabilization Services (HSS) program ending Oct. 31, 2025	2025-10-20	Bulletin
Partnership with Nokomis Health for claim audits	2025-10-20	Bulletin
Appointment availability assessments	2025-04-07	Bulletin
Mid-year reminder: Disclosure of Ownership form	2025-06-16	Bulletin
Provider FAQ UCare Product Changes	2025-09-08	FAQ
April 2021 Health Lines	2021-04-05	Newsletter
August 2021 Health Lines	2021-08-09	Newsletter
December 2021 Health Lines	2021-12-08	Newsletter
February 2021 Health Lines	2021-02-01	Bulletin
January 2021 Health Lines	2021-01-04	Newsletter
July 2021 Health Lines	2021-07-07	Newsletter
June 2021 Health Lines	2021-06-03	Newsletter
March 2021 Health Lines	2021-03-01	Newsletter
May 2021 Health Lines	2021-05-06	Newsletter
November 2021 Health Lines	2021-11-05	Newsletter
October 2021 Health Lines	2021-10-06	Newsletter
September 2021 Health Lines	2021-09-09	Newsletter
April 2022 Health Lines	2022-04-07	Newsletter
August 2022 Health Lines	2022-08-01	Newsletter
December 2022 Health Lines	2022-12-06	Newsletter
February 2022 Health Lines	2022-02-02	Newsletter
January 2022 Health Lines	2022-01-10	Newsletter
July 2022 Health Lines	2022-07-01	Newsletter
June 2022 Health Lines	2022-06-02	Newsletter
March 2022 Health Lines	2022-03-04	Bulletin
May 2022 Health Lines	2022-05-06	Newsletter
November 2022 Health Lines	2022-11-09	Newsletter
October 2022 Health Lines	2022-10-04	Newsletter
September 2022 Health Lines	2022-09-06	Newsletter
April 2023 Health Lines	2023-04-06	Newsletter
August 2023 Health Lines	2023-08-07	Newsletter
December 2023 Health Lines	2023-12-11	Newsletter
February 2023 Health Lines	2023-02-08	Newsletter
January 2023 Health Lines	2023-01-04	Newsletter
July Health Lines	2023-07-12	Newsletter
June 2023 Health Lines	2023-06-02	Newsletter
March 2023 Health Lines	2023-03-08	Newsletter
May 2023 Health Lines	2023-05-05	Newsletter
November 2023 Health Lines	2023-11-15	Newsletter
October 2023 Health Lines	2023-10-05	Newsletter
September 2023 Health Lines	2023-09-12	Newsletter
April 2024 Health Lines	2024-04-04	Newsletter
August Health Lines	2024-08-13	Newsletter
December 2024 Health Lines	2024-12-4	Newsletter
February 2024 Health Lines	2024-02-06	Newsletter
January 2024 Health Lines	2024-01-18	Newsletter
July 2024 Health Lines	2024-07-10	Newsletter
June 2024 Health Lines	2024-06-14	Newsletter
March 2024 Health Lines	2024-03-07	Newsletter
May 2024 Health Lines	2024-05-07	Newsletter
November 2024 Health Lines	2024-11-05	Newsletter
October 2024 Health Lines	2024-10-09	Newsletter
September 2024 Health Lines	2024-09-10	Newsletter
April 2025 Health Lines	2025-04-09	Health Lines
August 2025 Health Lines	2025-08-08	Newsletter
February 2025 Health Lines	2025-02-07	Newsletter
January 2025 Health Lines	2025-01-07	Health Lines
July 2025 Health Lines	2025-07-02	Newsletter
June 2025 Health Lines	2025-06-06	Newsletter
March 2025 Health Lines	2025-03-03	Health Lines
May 2025 Health Lines	2025-05-02	Newsletter
October 2025 Health Lines	2025-10-07	Newsletter
September 2025 Health Lines	2025-09-09	Newsletter
UCare systems impacted by Change Healthcare/Optum outage	2024-02-27	Bulletin
Critical Business Reminders	2021-07-22	Webpage