FUSE Task
The task used to view benefits
View Benefits
The place we refer an SPP member to call when they need to update their address
County
The tab you will find the members Care and Case management information in FUSE
Member (360)
The name of the list that shows drugs covered under the Plan.
Formulary
The benefit category X-ray's fall under
Diagnostic
The five acceptable forms of PHI
The plans eligible for OnePass
MSHO, Connect +Medicare, Connect
The task used to add a newborn baby
Add Dependent
The name of the system other than FUSE we use to verify a members eligibility
MN'ITS
The turnaround time it takes to review a standard authorization request
14 calendar days
The decision that is made about a member's pharmacy benefits and coverage, or about the amount the member will pay for their prescription drugs.
Coverage Determination
The benefit category mileage reimbursement falls under
Services that may be covered by other sources
The name of the report you used to report fraud
Report a Fraud, Waste and Abuse Incident
The name of all Five Connect to Wellness Kits
Stress Relief Kit, Dental Kit, Fitness Kit, Sleep Aid Kit, Amazon Echo Kit
The task used to view if a drug is on the Formulary
Check Formulary
The three ways in which a Connect member can disenroll from UCare
Written, Fax, Disability Hub MN
The members who have used services at a frequency or amount that is not medically necessary and/or who have used health services that result in unnecessary costs to UCare is on what program.
Restricted Recipients
The task in FUSE you will find the question Did the claim process correctly?
Pharmacy Claim Inquiry
The benefit category removable prostheses falls under
Dental Services
The place you find the Confidentiality Guidelines for members
Compliance
The name of the tab on UCare.org you can direct a member to find Rewards and Incentives available for their plan
Health & Wellness > Rewards and Incentives
The task used when a member wants to know what payment options are available for their plan
Billing Inquiry
The four things you need to include in your documentation when submitting a PCC change in FUSE
The name of the facility, The address of the facility, UCare provider number, and in network
The name of the form providers can use to refer case management for a member
Case Management Referral Form
The name of the program we use to check if we received a pharmacy authorization
F14
The Benefit category compression stocking fall under
Medical Equipment and Supplies (DME)
The address and fax number in which a caller can send in POA paperwork to
UCare Attn: Enrollment
P.O Box 52
Minneapolis, MN 55440-0052
612-676-6501 Attn: Enrollment
The number of days it takes for a member to receive their Health Savings card after enrolling into UCare
At Least 60 Days
The task used to open CHIP rewards
Create General Service Request
The place you refer a Medical Assistance member to call when they need a Certificate of Certifiable Coverage?
Minnesota Health Care Programs Member Help Desk at 651-431-2670 or 1-800-657-3739
The definition of a Care Coordinator
An employee of an agency contracted by UCare who:
It is a digital cognitive therapy program that teaches patients coping skills to help them respond to mental health issues and offers a positive path forward to help people care for insomnia, anxiety, or depression
SilverCloud Mental Health Platform
The benefit category Marital Counseling falls under
Mental Health
The name of the program that is designed to help people who fear for their safety maintain a confidential address
Safe at Home Program
The COVID -19 Vaccine Incentive is loaded of what type of card for PMAP, MnCare, MSC+ and Connect Members
Mastercard Rewards