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- MSHO & MSC+ Community Care Coordination Guidelines 11-22-2024
- MSHO & MSC+ Nursing Home Care Coordination Guidelines 9-13-2024
*If you need to access a copy of the previous guidelines for information prior to MnCHOICES updates, please contact your Partner Relations Consultant.*
New Hire Checklists:
- Blue Plus New Care Coordinator-Lead-Supervisor Orientation Checklist 10-2-2024
- Blue Plus Support Staff Orientation Checklist 10-2-2024
Workflow Checklists:
*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”.
- CFSS Guidance 12.13.2024
- Agency CFSS BV Service Agreements_11.27.2024
- Budget CFSS BV Service Agreements_12.4.2024
- CFSS Provider Lists 1-2-2025
- Tab 1: Consultation Providers
- Tab 2: PCA Providers
- Tab 3: FMS Providers
- BCBS CDCS Resource 11-15-2024 (1)
- Visit our CDCS Resources page for more information on CDCS: a service option available to people on a HCBS waiver, like Elderly Waiver, which gives a person flexibility in their service planning.
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
- Request to Exceed Case Mix CAP form
- 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
(The list below is not the only source of drug take back sites. We are using the DEA source of sites to meet this CMS requirement. Members may go to and use any site they prefer.)
- Blue Plus Transition of Care Log (up to 3 transitions)_11-5-2024
- Blue Plus Transition of Care Log (up to 6 transitions)_11-5-2024
- Fax Notification of Care Transition-Optional SB, MSC+ 040214
Care Coordinator TOC Resources – Provider Communications