FOR

OVER

60

YEARS

Minnesota Insurance Changes for 2022

Each year we like to summarize any big changes we’ve found in the managed care programs we service in Minnesota so our customers can prepare for the new year. Here are a few notes we’ve collected as 2021 ends. We encourage providers to contact their specific plans’ provider services unit or their plan contract manager with any questions. These notes may not be all inclusive of changes, and this information is subject to change, so review any communications from your accepted plans to prevent surprises. Thank you!


Medica:  

MEDICA PROVIDER SERVICES – 1-800-458-5512

We are unaware of any major changes for 2022 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 Care Coordinated Products Group Numbers

Plan Documents – Information on all Medica Plans (be sure to select 2022)


UCare:

UCARE PROVIDER SERVICES – 1-888-531-1493

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
  • UCareConnect Plus Medicare

UCare Products by County

2022 Plan Highlights State Public Programs

2022 Plan Highlights Mn Senior Health Options & UCare Connect + Medicare  

 

UCARE NEW FOR 2022

 

UCare IDs and Group Numbers

 

UCare ID Numbers and Group Numbers are changing for 2022 

UCare Provider Bulletin for New Payer ID information and change of ID #’s 

2022 UCare Member ID Cards

 

UCare Benefit Additions

 

UCare will be covering anti-reflective coating, photochromic lenses, tints, and progressives on their UCare connect plus Medicare and the Minnesota Senior Health Options plan in 2022.

UCare Provider Bulletin for Progressives, photochromics, tints, and AR

  • These are covered benefits – no prior authorization or diagnostic code is needed. This is at no cost to the member.
  • These services will only be processed for UCare through Eye-Kraft.
  • This benefit will be covered 1 time within a 2-year period.
  • Progressives will be Eye-Kraft’s DLS Everyday. This is a non-compensated free-form digital design.
  • Anti-reflective coatings will be Eye-Kraft’s ClearKraft2 or ClearKraft HEV. Offices will not be billed for eligible patient’s AR.
  • AR orders are complete frame and lens orders, AR will not be added to existing lenses.
  • Photochromics will be lab choice based on Rx, availability, and lens design.
  • Standard solid or gradient tints only. Therapeutic and specialty tints require demonstration of medical necessity and diagnostic codes and are not covered under the MSHO and UCare Connect plans.
  • If the member has an Rx change, breaks their glasses, etc., the member must pay for the anti-reflective coating on the remake if requested.
  • Photochromics and tints require medical necessity and diagnostic codes if replaced within the 2-year benefit period.
  • Progressive non-adapts will have 1 Rx adjustment remake, and further non-adapts will be fit for a lined multifocal.
  • Providers will continue to bill exam and dispensing fees as usual.

Group Numbers and Packages Below are ELIGIBLE for the Benefit Additions Above.

The following group numbers/Packages DO NOT cover the New Benefit Additions


South Country Health Alliance:

SOUTH COUNTRY HEALTH ALLIANCE PROVIDER SERVICES – 888-633-4055

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


Minnesota Health Care Programs:

Eye-Kraft is not associated with the State’s MHCP contract. For questions regarding changes to that program, please contact the servicing lab or DHS.


Reference Documentation: