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

 

*If you need to access a copy of the previous guidelines for information prior to MnCHOICES updates, please contact your Partner Relations Consultant.*

*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

  • 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.)