Member Resources

Advance Directives

Refer to Member Letters for Advance Directive Cover Letters

• MSC+:
  • 9.19 BCBSMN Advance Directive MSC+ 6.22.2021
• MSHO:
  • 9.19 BCBSMN Advance Directive SB 6.22.2021

Appeals & Grievances

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

MSHO and Medical Spenddowns

• MSHO and Medical Spenddowns DHS 5525

NAMI Member Mental Health Resources

• English: 2024CrisisMentalHealthResources.pdf (namimn.org)
• Hmong: 2024HmongCrisisMentalHealthResourcesNAMImnNNLMregion6.pdf
• Somali: 2024SomaliCrisisMentalHealthResourcesNAMImnNNLMregion6.pdf
• Spanish: 2024SpanishCrisisMentalHealthResourcesNAMImnNNLMregion6.pdf

Online Member Authorization Form

• Authorization for Disclosure of Health Information

Other Member Resources

• MSHO Doctor on Demand Postcard
• Immunization Guidelines (from immunize.org):
  • 9.03-Immunizations-Guidelines-SB-MSC-9-2022
  • Arabic_9.03-Immunizations-Guidelines-SB-MSC-9-2022
  • Chinese_9.03-Immunizations-Guidelines-SB-MSC-9-2022
  • French_9.03-Immunizations-Guidelines-SB-MSC-9-2022
  • Korean_9.03-Immunizations-Guidelines-SB-MSC-9-2022
  • Russian_9.03-Immunizations-Guidelines-SB-MSC-9-2022
  • Spanish_9.03-Immunizations-Guidelines-SB-MSC-9-2022
  • Vietnamese_9.03-Immunizations-Guidelines-SB-MSC-9-2022

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)