Eligibility & Authorization

 

Resources & Information

2019 Medical Services Authorization & Notification Grids:

Medical Services
 
EssentiaCare
 
UCare Medicare Plans with Fairview and North Memorial
 
UCare Individual and Family Plans, 
UCare Individual and Family Plans with Fairview
 
2019 Behavioral Health Authorization & Notification Grids:
 
Medicare
 
Medical Assistance
 
UCare Individual and Family Plans, 
UCare Individual and Family Plans with Fairview
 
2019 Injectable Drugs Authorization & Notification Grids:
 
UCare Medicare Plans/EssentiaCare
 
SNP/MSHO
 
SPP
 
2017 Medical Services Authorization & Notification Grids:
 
 
 
 
2017 Behavioral Health Authorization & Notification Grids:
 
 
 
 
2017 Injectable Drugs Authorization & Notification Grids:
 
2017 Authorization Requirements - Injectable Drugs  – UCare for Seniors/EssentiaCare
 
 
 
2017 Authorization Requirements - Injectable Drugs  – UCare Choices/Fairview UCare Choices

Find drug coverage for each UCare health plan and forms to request exceptions or 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. 

• Any medication, even on the formulary of covered drugs, requires prior authorization if the use is not supported by an FDA-approved indication. Use the exception request form and the contact information on our Formularies page.

 
Minnesota Restricted Recipient Program - State Public Programs
The forms below may be used when referring members to the UCare Restricted Recipient Program:
 
 
Restricted Member Program - Individual & Family Plans (formerly UCare Choices)
The forms below may be used when referring members to the Individual & Family Plans Restricted Member Program:
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If you have other questions, contact the Provider Assistance Center:

612-676-3300 or 1-888-531-1493
Hours:  8 a.m. to 5 p.m.,  Monday through Friday

Newsletters & Alerts

 

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