Ucare Provider and Pharmacy Directory

UCare Connect + Medicare (HMO D-SNP)

2021 Provider and Pharmacy Directory

Introduction

This Provider and Pharmacy Directory includes information about the provider and pharmacy types in UCare Connect + Medicare and listings of all the plan's providers and pharmacies as of the date of this Directory. The listings contain provider and pharmacy address and contact information as well as other details, as applicable, such as days and hours of operation, specialties, and skills. All providers in this Provider and Pharmacy Directory accept both Medicare and Medicaid. Key terms and their definitions appear in alphabetical order in the last chapter of the Evidence of Coverage. UCare Connect + Medicare will accept all eligible people who choose the Plan. We will not discriminate in regard to your physical or mental condition, health status, need for or receipt of health services, claims experience, medical history, genetic information, disability, marital status, age, sex, sexual orientation, national origin, race, color, religion, or political beliefs. UCare Connect + Medicare will not

use any policy or practice that has the effect of such discrimination. Enrolling in this health plan does not guarantee you can see a particular provider on this list. If you want to make sure, call that provider to ask if he or she is still part of this health plan. Also ask if he or she is accepting new patients. This health plan may not cover all your health care costs. Read your contract or Evidence of Coverage carefully to find out what is covered. American Indians can continue or begin to use tribal and Indian Health Services (IHS) clinics. We will not require prior approval or impose any conditions for you to get services at these clinics. For elders age 65 years and older this includes Elderly Waiver (EW) services accessed through the tribe. If a doctor or other provider in a tribal or IHS clinic refers you to a provider in our network, we will not require you to see your primary care provider prior to the referral.

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If you have questions, please call UCare Connect + Medicare (HMO D-SNP) Customer Service at 612-676-3310 or 1-855-260-9707 toll free, TTY 612-676-6810 or 1-800-688-2534 toll free, 8 am ? 8 pm,

seven days a week. The call is free. For more information, visit .

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UCare Connect + Medicare Directory Totals

Chapter

Number of Sites

Behavioral Health Chiropractic Care Convenience Care Dental Home Care Home Infusion Pharmacies Hospitals ITU Pharmacies Long-Term Care Pharmacies Nursing Homes Personal Care Provider Agencies Primary Care Clinics Retail Pharmacies Specialists Substance Abuse Disorder Urgent Care Vision Care Visiting Clinics

1590 1388 95 848 190 19 182 43 639 328 26 806 2791 1449 224 81 280 9

Number of Practitioners 5896 1795 1315

12281 7197

475 155

Civil Rights Notice

CB5 (MCOs) (05-2020)

Discrimination is against the law. UCare does not discriminate on the basis of any of the following:

l race l color l national origin l creed l religion l sexual orientation l public assistance status l age

l disability (including physical or l medical condition

mental impairment)

l health status

l sex (including sex stereotypes l receipt of health care services

and gender identity)

l claims experience

l marital status

l medical history

l political beliefs

l genetic information

Auxiliary Aids and Services. UCare provides auxiliary aids and services, like qualified interpreters or information in accessible formats, free of charge and in a timely manner, to ensure an equal opportunity to participate in our health care programs. Contact UCare at 612-676-3200 (voice) or 1-800-203-7225 (voice), 612-676-6810 (TTY), or 1-800-688-2534 (TTY).

Language Assistance Services. UCare provides translated documents and spoken language interpreting, free of charge and in a timely manner, when language assistance services are necessary to ensure limited English speakers have meaningful access to our information and services. Contact UCare at 612-676-3200 (voice) or 1-800-203-7225 (voice), 612-676-6810 (TTY), or 1-800-688-2534 (TTY).

Civil Rights Complaints

You have the right to file a discrimination complaint if you believe you were treated in a discriminatory way by UCare. You may contact any of the following four agencies directly to file a discrimination complaint.

U.S. Department of Health and Human Services' Office for Civil Rights (OCR)

You have the right to file a complaint with the OCR, a federal agency, if you believe you have been discriminated against because of any of the following:

l race l color l national origin

l age l disability l sex l religion (in some cases)

Contact the OCR directly to file a complaint: Director U.S. Department of Health and Human Services' Office for Civil Rights 200 Independence Avenue SW Room 515F HHH Building Washington, DC 20201 Customer Response Center: Toll-free 800-368-1019 TDD 800-537-7697 Email: ocrmail@

Minnesota Department of Human Rights (MDHR)

In Minnesota, you have the right to file a complaint with the MDHR if you believe you have been discriminated against because of any of the following:

l race l color l national origin l religion

l creed l sex l sexual orientation l marital status

Contact the MDHR directly to file a complaint: Minnesota Department of Human Rights 540 Fairview Avenue North Suite 201 St. Paul, MN 55104 651-539-1100 (voice) 800-657-3704 (toll free) 711 or 800-627-3529 (MN Relay) 651-296-9042 (Fax) Info.MDHR@state.mn.us (Email)

l public assistance status l disability

Minnesota Department of Human Services (DHS)

You have the right to file a complaint with DHS if you believe you have been discriminated against in our

health care programs because of any of the following:

l race

l disability (including physical or l medical condition

l color

mental impairment)

l health status

l national origin

l sex (including sex stereotypes l receipt of health care services

l creed

and gender identity)

l claims experience

l religion

l marital status

l medical history

l sexual orientation

l political beliefs

l genetic information

l public assistance status

l age

Complaints must be in writing and filed within 180 days of the date you discovered the alleged discrimination. The complaint must contain your name and address and describe the discrimination you are complaining about. After we get your complaint, we will review it and notify you in writing about whether we have authority to investigate. If we do, we will investigate the complaint.

DHS will notify you in writing of the investigation's outcome. You have the right to appeal the outcome if you disagree with the decision. To appeal, you must send a written request to have DHS review the investigation outcome. Be brief and state why you disagree with the decision. Include additional information you think is important.

If you file a complaint in this way, the people who work for the agency named in the complaint cannot retaliate against you. This means they cannot punish you in any way for filing a complaint. Filing a complaint in this way does not stop you from seeking out other legal or administrative actions.

Contact DHS directly to file a discrimination complaint: Civil Rights Coordinator Minnesota Department of Human Services Equal Opportunity and Access Division P.O. Box 64997 St. Paul, MN 55164-0997 651-431-3040 (voice) or use your preferred relay service

UCare Complaint Notice

You have the right to file a complaint with UCare if you believe you have been discriminated against in our health care programs because of any of the following:

l medical condition l health status l receipt of health care services l claims experience l medical history l genetic information

l disability (including mental or physical impairment)

l marital status l age l sex (including sex stereotypes

and gender identity)

l sexual orientation l national origin l race l color l religion l creed l public assistance status l political beliefs

You can file a complaint and ask for help in filing a complaint in person or by mail, phone, fax, or email at:

UCare

Attn: Appeals and Grievances

PO Box 52

Minneapolis, MN 55440-0052

Toll free: 1-800-203-7225

TTY:

1-800-688-2534

Fax:

612-884-2021

Email: cag@

Table of Contents

Chapter

A. Disclaimers .......................................................................................... 9 B. Background Information about UCare Connect + Medicare's Network Providers..................................................................................

10 ........................................................................................................................ B1. Key terms .................................................................................................... 10 B2. How to choose a Primary Care Provider (PCP)....................................... 10 B3. How to access UCare Connect + Medicare's network providers ......... 11 B4. How to find UCare Connect + Medicare providers in your area.......... 11 C. UCare Connect + Medicare List of Network Providers .................. 12 Primary Care Clinics ......................................................................................... 15 Behavioral Health ............................................................................................. 253 Chiropractic Care.............................................................................................. 457 Convenience Care ............................................................................................ 577 Dental Care ....................................................................................................... 585 Home Care Agencies........................................................................................ 667 Hospitals............................................................................................................ 687 Nursing Homes................................................................................................. 705 Personal Care Provider Agencies ................................................................... 735 Substance Use Disorder .................................................................................. 741 Urgent Care Clinics........................................................................................... 765 Vision Care ........................................................................................................ 773 Visiting Clinics ................................................................................................... 807 Specialists .......................................................................................................... 811

Acupuncture ............................................................................................... 811 Allergy/Immunology................................................................................... 813 Cardiology ................................................................................................... 816 Cardiovascular Disease ............................................................................. 824 Cardiovascular/Thoracic Surgery ............................................................. 828 Colon and Rectal Surgery .......................................................................... 831 Dermatology ............................................................................................... 832 Durable Medical Equipment ..................................................................... 839 Endocrinology ............................................................................................. 883 Family Medicine.......................................................................................... 885 Family Planning .......................................................................................... 888 Gastroenterology ....................................................................................... 889 General Practice ......................................................................................... 893 General Surgery.......................................................................................... 894 Hematology................................................................................................. 902 Infectious Disease ...................................................................................... 904 Internal Medicine ....................................................................................... 906 Laboratory................................................................................................... 945 Mental Health ............................................................................................. 946 Neonatology................................................................................................ 947 Nephrology ................................................................................................. 948

Table of Contents

Chapter

Neurological Surgery ................................................................................. 951 Neurology.................................................................................................... 953 Obstetrics and Gynecology ....................................................................... 959 Occupational Medicine .............................................................................. 966 Occupational Therapy ............................................................................... 968 Oncology ..................................................................................................... 970 Ophthalmology........................................................................................... 979 Oral and Maxillofacial Surgery.................................................................. 990 Orthopedic Surgery.................................................................................... 993 Orthopedics ................................................................................................ 1002 Otolaryngology (ENT)................................................................................. 1015 Pain Management ...................................................................................... 1020 Perinatology................................................................................................ 1026 Pharmacist (MTM) ...................................................................................... 1027 Physical Medicine and Rehab ................................................................... 1028 Physical Therapy......................................................................................... 1031 Plastic and Reconstructive Surgery.......................................................... 1034 Podiatry ....................................................................................................... 1036 Pulmonary Medicine .................................................................................. 1043 Radiation Oncology.................................................................................... 1049 Radiology..................................................................................................... 1052 Rehabilitation Medicine............................................................................. 1057 Reproductive Endocrinology..................................................................... 1059 Rheumatology ............................................................................................ 1060 Sleep Disorder ............................................................................................ 1062 Speech Therapy .......................................................................................... 1065 Sports Medicine.......................................................................................... 1066 Telehealth.................................................................................................... 1067 Urology ........................................................................................................ 1068 Vascular Surgery......................................................................................... 1073 D. Background Information aboutUCare Connect + Medicare's Network Pharmacies .............................................................................. 1075 D1. Types of pharmacies in UCare Connect + Medicare network.............. 1075 D2. Long-term supplies of prescriptions ....................................................... 1075 E. UCare Connect + Medicare List of Network Pharamcies ............... 1076 Retail Pharmacies ............................................................................................. 1077 Mail Order Pharmacies.................................................................................... 1303 Home Infusion Pharmacies............................................................................. 1305 Long-Term Care Pharmacies........................................................................... 1309 Indian Health Service/Tribal/Urban Indian Health Program Pharmacies . 1365

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