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!

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Medica:

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).

MEDICA PROVIDER SERVICES

800-458-5512

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UCARE:

Eye-Kraft Processes claims directly to UCARE for the following plans:

• Minnesota Care Minnesota Senior Care Plus
• Minnesota Senior Health Options
• Prepaid Medical Assistance Program
• UCARE Connect
• UCARE Connect Plus Medicare

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.

• This benefit will be covered 1 time within a 2-year period.
• If the member has a rx change, breaks the glasses, etc. the member would need to pay for the Anti Reflective Coating on the remake.
• Providers will continue to bill a dispensing fee as usual.
• If the patient is eligible for AR and it is ordered, the ordering office will not be billed as this is now a benefit for these patients under these plans.

Group Numbers and Benefit Packages ELIGIBLE for AR under UCARE:

MINNESOTA SENIOR HEALTH OPTIONS (MSHO) BENEFIT PACKAGE

• MSNMIN, MSNMCB, MSNMCC, MSNMEH, MSNMFH, MSNMCO, MSMEIN, MSMECB, MSMECC, MSMEEH, MSMEFH, MSMECO

 UCARE CONNECT PLUS MEDICARE

• SICYMT, SICYNO, SICYSO

Group Numbers and Benefit Packages NOT ELIGIBLE for AR under UCARE:

MINNESOTA CARE

• MNNOMN, MNSOMN, MN62MN, MNMETR, MNHENN

MINNESOTA SENIOR CARE PLUS

• MENMMP, MEMEMP

PREPAID MEDICAL ASSISTANCE PROGRAM 

• MENOMA, MEMTMA, ME62MA, ME27MA, MESOMA 

UCARE CONNECT

• CTCNMT, CTCYMT, CTCNNO, CTCYNO, CTCNSO, CTCYSO 

*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. 

• UCARE has expanded their Individual and Family plans significantly this year. There are a total of 43 plans in this category.
• UCARE Medicare plans are also increasing in circulation. These plans do not have the historical ID #00, and the IDs start with 3 or 4.

UCARE PROVIDER SERVICES

888-531-1493

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South Country Health Alliance:

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

SOUTH COUNTRY HEALTH ALLIANCE PROVIDER SERVICES

888-633-4055

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Reference Documentation:

 

• Minnesota Health Care Programs County Map