- Visit our Care Coordination Audit page for DHS Audit Protocols and Blue Plus HRA Audit tip sheet.
Members and Care Coordinators can call 651-662-8648 or 1-866-340-8648 to schedule non-emergency medical transportation.
Care Coordinators are encouraged to use the BlueRide portal which is linked on the Bridgeview Care Coordinator tool. The Care Coordinator BlueRide Portal Guide is a step-by-step guide with instructions on how to schedule/view rides in the portal.
Transportation Forms
- Form for Care Coordinators to schedule Common Carrier rides 3 business days in advance by email: Care Coordinator Ride Request Form – Common Carrier
- Form for Care Coordinators to schedule Special Transportation (STS) rides 3 business days in advance by email: CC Ride Request Form – Special Transportation
- Form for Care Coordinators to approve a rep, family member, caregiver to schedule a ride on the member’s behalf: Transportation Approved Ride Scheduler Request Form
- BlueRide member brochure:
- Transportation 30/60 Exception Request Form: Blue Ride 30_60 Mileage Exception Form
- Short Notice Rides and Pharmacy Rides: Short Notice rides and Pharmacy rides 9.16.2021
- 9.27 Care Coordination Brochure MSHO
- 9.27 Care Coordination Brochure MSC+
- The Aging and Adult Services and Disability Services divisions have launched the Case Manager and Care Coordinator Toolkit. The toolkit is a centralized area for case managers and care coordinators to find DHS resources, training opportunities, policy changes and/or updates, and other resources related to the duties of a case manager and care coordinator.
- SecureBlue Case Mgmt Care Coordinator Brochure final (*member approved brochure comparing care coordination & case management*)
- Case Management Referral Form 2-9-2024
Blue Plus is asking our Care Coordination partners to help us ensure our members receive the preventive dental care they need. The following resources have been developed to help you promote the importance of an annual dental visit and address any member questions and concerns.
Care Coordinator Resources
- Information on the relationship between oral health and physical health is available on the Delta Dental of Minnesota web site.
- Blue Plus MSC+ and MSHO Dental Scenario Resource Guide 1-2-24
Member Resources
Community Based Services Manual (CBSM)
The CBSM (formerly DSPM) is a reference tool for county workers who administer home and community-based services in Minnesota.
Minnesota Health Care Programs (MHCP) Manual
The MHCP Provider Manual is your primary source of information on MHCP coverage, rates and billing procedures.
Elderly Waiver Services and Provider Info
Information on all waivered services including information on providers who are enrolled as a waiver provider with DHS licensed is available at www.minnesotahelp.info. Care Coordinators can find providers and services based on waiver type, NPI, or type of service. Here is a link to the site and step by step search instructions created by DHS.
Long Term Care Link MnHelp Instructions DHS-6933-ENG (PDF)
EW Services in Assisted Living: What you need to know DHS-7935
MN Nursing Home Report Card
Sponsored by DHS and MDH, the MN Nursing Home Report Card shows how nursing homes in MN are scored in seven quality measures. A helpful resource to assist families with decision making.
Medicare.gov
The official U.S. Government Site for Medicare. Care Coordinators can choose ‘What Medicare Covers’ when determining appropriate payer for EW/T2029 Specialized Supplies & Equipment needs.
Helios replaced Member360 effective 1/1/2024. Care Coordinators can access this read-only tool via Bridgeview. Refer to these resources for how to search for a member, add member to your “panel” to view information, and navigating the member’s record.
Care Coordinators play an important role in helping Blue Plus members stay healthy and independent. As an extension of the care team, you are in a unique position to offer important education, motivation, and support to our most vulnerable members around the topic of fall prevention. We are providing you with important information about falls and fall risks. In addition, we have developed a Fall Prevention Conversation Guide to help you initiate important conversations with older adults (65+ years) about how to reduce the risk of falling. Together, we can become strong advocates for fall prevention though coordinated care and promoting aging-in-place practices. Thank you for playing an important role on our fall prevention team.
- Fall Prevention Conversation Guide
Medications:
- Blue Cross Medication Record Form
- Care Coordinator MTM Referral Form – See Pharmacy
Home Assessment and Modification:
When using a provider that has multiple addresses, please reference the correct address you are using in the service agreement description.
- Community First Services and Supports
The Care Coordinator should always confirm Blue Plus network status with the provider. When it is necessary to use a provider that is registered w/DHS but is not in the Blue Plus network, the Care Coordinator must add to the service agreement description “Out of Network”. These provider lists are a moment in time and are subject to change.
- Home Care
- PCA Care Provider List
Visit our MA Redeterminations page for information and resources.
Visit our Member/Community Resources page for information and resources, including but not limited to:
- Alzheimer’s
- Adult Protection
- Caregiver
- Health Exchange (for health related educational materials in many languages)
- And more!
- Acronyms for Care Coordinators (updates in red font)
- Care Coordinators Guide to Reducing Community Well (non -EW) Refusals of Health Risk Assessments 8.4.2021
- Tool for calculating days for services authorized (be sure to check “Include end date in calculation”)
- Resources for Providers: Meeting the Needs of Diverse Family Caregivers Toolkit
- Identifying Malnutrition and Abuse
- Tool for calculating days for services authorized (be sure to check “Include end date in calculation”)
- ICLS Individual Community Living Supports – Service Overview 12-14-2020
- ICLS vs. PCA ADL assistance Decision Guide Tool
- Findhelp
- Findhelp is a one-stop-shop to connect members to local social service resources. Check it out here!
- If you haven’t used the website yet, you will need to enter your email and choose “Forgot your password?” and follow the instructions.
SecureBlue MSHO
Visit our public BCBS of MN SecureBlue℠ (Minnesota Senior Health Options) page to access:
- Plan documents including Summary of Benefits, Member Handbook, Annual Notice of Changes, and much more!
- Click here for direct access to the SecureBlue MSHO Provider and Pharmacy Directory.
- Click here for direct access to the SecureBlue MSHO Formulary in PDF.
- Or visit myprime.com for online tools including pharmacy documents.
Medicare Part D Claim Reimbursement Form:
- Form for members/Care Coordinators to request reimbursement for:
- Part D covered vaccines received in a clinic setting or
- Self-administered medications while in a hospital during an observation stay or in the Emergency Room
- Clinics/hospitals cannot bill certain Part D covered drugs. Members will get billed and can 1) pay the bill and submit for reimbursement or 2) not pay the bill and submit invoice for reimbursement. Ask your PR Consultant if you have any questions.
- Form can be mailed to address on the form or faxed to 1-800-693-6703.
- Must include copy of paid receipt or unpaid invoice.
- MTM Services are provided telephonically by in-house pharmacists who can complete a Comprehensive Medication Review for our MSHO Members.
Blue Advantage MSC+
Visit our public BCBS of MN MSC+ Blue Advantage page to access:
- Plan documents including Summary of Benefits, Member Handbook, Annual Notice of Changes, and much more!
- Click here for direct access to the MSC+ Provider and Pharmacy Directory.
- See member’s Part D carrier for pharmacy & formulary information.
Other pharmacy resources:
SecureBlue MSHO
Blue Advantage MSC+
- Culture Care Connection is an online learning and resource center that supports clinical and non-clinical health care professionals to reduce health disparities and promote health equity.
Visit the website: https://culturecareconnection.org/