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Welcome UCare Providers

Medical Services Authorizations

See Related Content

Mental Health and Substance Use Disorder Services Authorizations

Pharmacy and Medical Drug Authorizations

UCare Authorization & Notification Requirements

Forms & Information

All Products
AIR/LTAC Admission Notification Form
Durable Medical Equipment/Supply Prior Authorization Form
General Prior Authorization Request Form (Not used for Behavioral Health services or Medical Drug authorization requests)
Genetic Testing Prior Authorization Form
Hospice Election Form
Transplant Notification Form
Universal Health Plan/Home Health Agency Prior Authorization Request Form

Only EssentiaCare, UCare Medicare and UCare Medicare with M Health Fairview & North Memorial Plans
Pre-Determination Request Form (Not used for Medical Drug Pre-Determination requests)

Only State Public Programs & Special Needs Plans
 Birth Notification Form
DHS Managed Care Service Authorization Request Process
Home Care Nursing/Private Duty Nursing Request Form

For SNF Medically Necessary Private Room Requests, UCare will accept either the DHS Private Room Request Form found in the DHS Nursing Home portal or the necessary details added to the Nursing Home/Swing Bed Admission/Update Form.

Only Medicare and Individual & Family Plans
Nursing Home/Swing Bed Admission/Update Form

Only State Public Programs & Special Needs Plans
Nursing Home Authorization Information

Only MSHO, MSC+, UCare Connect and UCare Connect + Medicare Plans
Nursing Facility (NF) Communication Form

UCare works with delegated organizations to handle the following types of authorization.

Chiropractic Authorization:

Direct all authorization questions to UCare's delegate, Fulcrum Health, Inc. | 1-877-886-4941 (toll free)

Dental Authorization:
Direct all authorization questions to UCare's delegate, Delta Dental of Minnesota

  • UCare State Public Programs: 1-855-648-1415 (toll free) or 651-768-1415
  • UCare Medicare Plans and Institutional/Equivalent Special Needs Plan (I E SNP) (Medicare Advantage): 1-855-648-1416 (toll free) or 651-768-1416
  • UCare Individual & Family Plans / UCare Individual & Family Plans with M Health Fairview: 1-855-648-1417 (toll free) or 651-768-1417
  • EssentiaCare: 1-855-648-1416 (toll free) or 651-768-1416

Medical Injectable Drug Authorization:
Direct all authorization requests to UCare’s delegate: Care Continuum, a subsidiary of Express Scripts Online (ePA) at www.express-path.com/ | Phone: 1-800-818-6747 (toll free) | Fax: 1-877-266-1871

All Products
This form is intended to communicate patient referrals between medical and behavioral health providers.

Universal Referral Form

 

UCare Clinical Services

Phone (local): 612-676-6705
Phone (toll free): 1-877-447-4384
Fax: 612-884-2499

Fulcrum Health, Inc.

Phone: 877-886-4941
Fax: 763-204-8572

 

Provider Resources

Policies & Resources

Provider Manual
Medical Necessity Guidelines
Payment Policies
Denial Notices
Coverage Policies

Check Authorization Status

Login to check the status of an 
authorization request.

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Questions? Contact the Provider Assistance Center 

Phone (local): 612-676-3300
Phone (toll free): 1-888-531-1493 
Hours: 8 am - 5 pm, Monday through Friday