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.*

Request to Exceed

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

  • Request to Exceed form: FINAL_Request to Exceed Form_8.6.2024
  • 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.)

*In order to see the tooltip instructions on the updated TOC logs, you will need to download/save the PDF by clicking on the download arrow. Once downloaded, open in Adobe Reader or Adobe Acrobat Pro (whichever version of Adobe you have access).

Care Coordinator TOC Resources – Provider Communications