Each year we like to summarize any big changes we’ve found in the managed care programs we service so our customers can prepare for the new year. Here are a few notes we’ve collected as 2020 comes to a close (finally!). We encourage providers to contact their specific plans’ provider services or their plan contract manager with any specific questions. These notes may not be all inclusive of changes, so review any communications from your accepted plans to prevent other surprises. Thank you!
We are unaware of any major changes for 2021 with our accepted Medica plans. Medica will continue with their Anti-Reflective Coating benefit for members with groups #07xxx (Special Needs Basic Care Enhanced) & 08xxx (Minnesota Senior Health Option Plan).
Eye-Kraft Processes claims directly to UCARE for the following plans:
UCARE will be continuing to cover Anti Reflective Coating on 2 plans in 2021. UCARE connect plus Medicare and the Minnesota Senior Health Options plan. This is a covered benefit; no prior authorization or diagnostic code is needed. This is at no cost to the member.
Group Numbers and Benefit Packages ELIGIBLE for AR under UCARE:
MINNESOTA SENIOR HEALTH OPTIONS (MSHO) BENEFIT PACKAGE
UCARE CONNECT PLUS MEDICARE
Group Numbers and Benefit Packages NOT ELIGIBLE for AR under UCARE:
MINNESOTA SENIOR CARE PLUS
PREPAID MEDICAL ASSISTANCE PROGRAM
*Notes: There are several UCARE commercial and Medicare plans providers will see more of this year. Eye-Kraft does not manage claims for the following plans and will bill providers directly for these jobs.
There are no major changes for South Country in 2021. The 8 current South Country Health Alliance counties are:
Brown County, Dodge County, Goodhue County, Kanabec County, Sibley County, Steele County, Wabasha County, Waseca County