If the claim denied payment, I think I would send a new claim and let it go through processing as a new claim.

Marnie

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Hanson,April
Sent: Wednesday, May 24, 2023 1:12 PM
To: billers@list.mnhomecare.org
Subject: Re: UCare

**External Sender**

No this patient is on MA side of Ucare MSHO.

April Hanson

Patient Accounts

Perham Living

Ph: 218.347.1894

F: 218.347.1885

April.Hanson@perhamhealth.org

Dedicated to health and wellness throughout life.

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Salin, Tracy M - Tracy.Salin at fairview.org (via billers list) <billers@list.mnhomecare.org>
Sent: Wednesday, May 24, 2023 1:09 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: UCare

Is it a medicare qualifying service claim or no?

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Hanson,April
Sent: Wednesday, May 24, 2023 1:02 PM
To: billers@list.mnhomecare.org
Subject: Re: UCare

I tried calling Ucare on one of my claims again for a dual member and they seem to not know anything about this. They are still saying the denial is valid and Q codes are also required on claims per CMS guidelines. Anyone else having the same

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April Hanson

Patient Accounts

Perham Living

Ph: 218.347.1894

F: 218.347.1885

April.Hanson@perhamhealth.org

Dedicated to health and wellness throughout life.

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Brianna Lindell <blindell@mnhomecare.org>
Sent: Monday, May 22, 2023 9:46 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: UCare

Hi,

Thank you to everyone who came forward and allowed MHCA to provide your agency name to UCare.

We received an update from the leadership team and would like to pass on their resolution to the issue many have been facing. See below for the message from UCare:

For Dual member claims: Providers must continue to bill appropriately for home health care services based on Medicare and/or DHS requirements. UCare has lifted the edit that was previously in place for dual eligible claims. UCare will also be adjusting claims that were inappropriately denied due to the lack of Occurrence code 50 on DHS only covered services dating back to dates of service 2022. This adjustment of claims will take several weeks. Agencies that have edited claims to get them paid will not be reprocessed and should not be affected.

Providers may contact the UCare Provider Assistance Center by phone at 612-676-3300 or 1-888-531-1493 or pac@ucare.org with further questions.

Best regards,

Brianna Lindell

Regulatory Affairs & Advocacy Manager

Minnesota Home Care Association

1265 Grey Fox Road, Suite 2 | Arden Hills, MN 55112-6929

Direct: 651.240.3380 | Main: 651.635.0607

www.mnhomecare.org | blindell@mnhomecare.org

From: Brianna Lindell
Sent: Wednesday, April 26, 2023 9:50 AM
To: billers@list.mnhomecare.org
Subject: UCare

Hi,

MHCA has been working behind the scenes to try and assist with the issues surrounding UCare over the last few months.

The leadership team at UCare is asking for a list of agencies who have had issues with UCare dually eligible and dually integrated claim issues.

I believe if we can give them a decent list of providers name who have been impacted, it will show the depth of this issue and hopefully lead to a system wide solution; one they have informed us this morning they are working towards.

My ask- if your agency is comfortable with sharing your name in the list I send over, please let me know by the end of the day tomorrow.

Thank you all for considering and for everything you do!

Brianna Lindell

Regulatory Affairs & Advocacy Manager

Minnesota Home Care Association

1265 Grey Fox Road, Suite 2 | Arden Hills, MN 55112-6929

Direct: 651.240.3380 | Main: 651.635.0607

www.mnhomecare.org | blindell@mnhomecare.org

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