Care Coordination

 

Please share your member moments & success stories, no matter how big or small. We want to share the hard work you do on behalf of our seniors. Please do not include any PHI. MEMBER MOMENTS FORM

 

*Important*: any and all service agreement entries for CFSS must have a member reason code entered for Bridgeview to send the member a copy of the authorization letter. The most commonly used code is 10 which means “This is a new service authorization”.

Request to Exceed

For Continuity of Care, please complete the “Request to Exceed Case Mix CAP” form and send the following documents to: Partner.Relations@bluecrossmn.com

  • FINAL_Request to Exceed Form_12.27.2024-PDF
  • R-MnCHOICES assessment
  • Support Plan
  • Residential Tool | as applicable
  • Case Notes from the last 3 months | as applicable
  • PCA Support Assessment | as applicable
  • Other supporting documents | as applicable

Conversion Rate Request

For “Conversion Rate Requests”, please refer to the DHS CBCM Elderly Waiver Conversion Rate

Send request to Partner.Relations@bluecrossmn.com along with:

  • EW Conversion Rate Request (DHS-3956)
  • R-MnCHOICES assessment
  • Support Plan
  • Residential Tool | as applicable
  • Case Notes from the last 3 months | as applicable
  • PCA Support Assessment | as applicable
  • Other supporting documents | as applicable

This list is from the DEA website that is listed on CMS’ MTM website to identify the list of pharmacies that have a safe disposal program. This DEA list is not an all-inclusive list, but it is the source of truth from CMS. Care Coordinators may let members know they can look for other locations that might be closer to their homes for disposal.