Member Resources

Advance Directives

Refer to Member Letters for Advance Directive Cover Letters

• MSC+:
  • MSC+_Advance Directive (PDF)
• MSHO:
  • MSHO_BCBSMN Advance Directive (PDF)

 

Appeals & Grievances

• See the Care Coordination Guidelines for more information on Appeals & Grievances.

 

MSHO and Medical Spenddowns

• MSHO and Medical Spenddowns DHS 5525 (PDF)

 

NAMI Member Mental Health Resources

• English: 2024CrisisMentalHealthResources.pdf (namimn.org) (PDF)

 

Online Member Authorization Form

• Authorization for Disclosure of Health Information

 

Other Member Resources

• MSHO Doctor on Demand Postcard (PDF)
• Immunization Guidelines (from immunize.org):
  • Immunizations-Guidelines-SB-MSC-10-2024 (PDF)
    • Korean_Immunizations-SB-MSC-10-2024 (PDF)
    • Russian_Immunizations-SB-MSC-10-2024 (PDF)
    • Somali_Immunizations-SB-MSC-10-2024 (PDF)
    • Spanish_Immunizations-SB-MSC-10-2024 (PDF)
    • Vietnamese_Immunizations-SB-MSC-10-2024 (PDF)

 

Printable Member Authorization Forms

(to be used by member to request to release member health information to another person or company)

Legal & Disclosure Resources

• Authorization for Disclosure of Health Information form (available in English, Hmong, Spanish)
• Power of Attorney form
• Tax Form 1095-B (how to request for certain MNCare or Medical Assistance enrollees)