Medical Services Authorizations
See related content
Mental Health and Substance Use Disorder Services Authorizations
UCare Authorization & Notification Requirements
2025 Authorization and Notification Requirements:
Minnesota Senior Health Options (MSHO) | Connect + Medicare
EssentiaCare (Essentia Health + UCare)*
UCare Individual & Family Plans (IFP) | UCare Individual & Family Plans with M Health Fairview
UCare Medicare Plans* | UCare Your Choice* | Institutional Special Needs Plans (I-SNP)
UCare Connect | MSC Plus | Prepaid Medical Assistance Plan (PMAP) | MinnesotaCare (MnCare)
*MultiPlan Providers should reference these Authorization Grids.
Pharmacy
Please see the Pharmacy page for information regarding Medical Injectable Drug Authorizations.
2024 Authorization and Notification Requirements:
Minnesota Senior Health Options (MSHO) | Connect + Medicare
EssentiaCare (Essentia Health + UCare)*
UCare Individual & Family Plans (IFP) | UCare Individual & Family Plans with M Health Fairview
UCare Medicare Plans* | UCare Your Choice* | UCare Medicare Plans with M Health Fairview & North Memorial* | Institutional Special Needs Plans (I-SNP)
UCare Connect | MSC Plus | Prepaid Medical Assistance Plan (PMAP) | MinnesotaCare (MnCare)
*MultiPlan Providers should reference these Authorization Grids.
Pharmacy
Please see the Pharmacy page for information regarding Medical Injectable Drug Authorizations.
2023 Medical Services:
Minnesota Senior Health Options (MSHO)* | Connect + Medicare*
EssentiaCare (Essentia Health + UCare)*
UCare Individual & Family Plans (IFP)* | UCare Individual & Family Plans with M Health Fairview*
UCare Medicare Plans* | UCare Your Choice* | UCare Medicare Plans with M Health Fairview & North Memorial* | Institutional Special Needs Plans (I-SNP)*
UCare Connect* | MSC Plus* | Prepaid Medical Assistance Plan (PMAP)* | MinnesotaCare (MnCare)*
*Effective 5/12/2023 through 12/31/2023, pre-admission review for LTACH and AIR will not be required. Please submit notification of the admission within 24 hours of admission.
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
Rare Disease PA 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
Only State Public Programs & Special Needs Plans
PCA/CFSS Assessment Request Form
PCA/CFSS Authorization Transfer Form
PCA/CFSS Provider Change Request 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.Evicore.com | Phone: 1-800-818-6747 (toll free) | Fax: 1-877-266-1871
Restricted Recipient Program
Restricted Recipient Reference Guide
Minnesota Restricted Recipient Program - State Public Programs & Special Needs Plans
Specialty Referral Form
Prescribing Privileges for PCP Partners
Restricted Recipient Program Intake Form
Restricted Member Program - Individual & Family Plans
UCare Individual & Family Plans Medical Referral for UCare Restricted Member Enrollee
UCare Individual & Family Plans Prescribing Privileges for PCP Partners
UCare Individual & Family Plans Restricted Member Program Intake Form
All Products
This form is intended to communicate patient referrals between medical and behavioral health providers.
UCare Clinical Services
Phone (toll free): 1-877-447-4384
Fax: 612-884-2499
Fulcrum Health, Inc.
Fax: 763-204-8572