Carecoordination.bluecrossmn.com



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Blue Plus New Care Coordinator Checklist

| |This checklist is a training tool for new Care Coordinators. Refer to the MSHO/SecureBlue and MSC+ Care Coordination and |

| |Bridgeview Guidelines for complete details. |

| | |

|Care Coordination Website |Visit: Blue Plus Care Coordination Website |

| | |

| |Review the following tabs: |

| |Home Page: Updated regularly with new information and upcoming trainings. |

| |Care Coordination: Includes guidelines, forms, and member letters. |

| |MSHO: Information on MSHO Supplemental Benefits and MSHO enrollment resources. |

| |Communication: This is where previously sent Communiques are posted. |

| |Training: Care Coordinator trainings/webinars including the Model of Care. |

| |Resources: Includes various resources including Audits, CDCS, Dental, MHCP and DHS manuals, Member/Community resources, |

| |Person-Centered Planning, Provider and Pharmacy Directories, BlueRide, and other helpful links |

| |Bridgeview: This section includes Bridgeview links, manual and T2029 guide, DME payor determination checklist. |

| |MnCHOICES: Resources for MnCHOICES Mentors and Certified Assessors. |

| | |

|Tasks (complete the |Review Care Coordination Guidelines as applicable: |

|following): | |

| |MSHO and MSC+ Community Care Coordination Guidelines |

| |MSHO and MSC+ Nursing Home Care Coordination Guidelines |

| | |

| |Confirm Manger/Supervisor has completed the “Bridgeview Care Coordinator Web Tool Access Request Form” required for access|

| |to Bridgeview Company web tool. |

| |Bridgeview-Care-Coordinator-Web-Tool-Access-Request-Form |

| | |

| |Reach out to MnCHOICES Mentor and complete MnCHOICES Handling MN Information Securely and Certified Assessor Training |

| |(does not apply to NH only Delegates or NH only CCs) |

| |Review MSHO and MSC+ product differences use resources on CC Website: found under MSHO/ SecureBlue MSHO enrollment. |

| |Review supplemental benefits available to MSHO members only using 6.26 Explanation of Supplemental Benefits |

| |Review current DHS MCO Audit Protocol. Found under Resources/Care Coordination Audits. |

| |Review 6.02.02 Instructions for the Collaborative Care Plan |

| |Review 6.22.01 Transition Log Instructions |

| | |

| |Blue Plus: |

| |BCBS MN Health Care Programs |

| |MSC+ MN Senior Care Plus (Benefits, Member handbook, Provider and Pharmacy directory, Formulary-drug list) |

| |MSHO MN Senior Health Options (Benefits, Member handbook, Provider and Pharmacy directory, Formulary-drug list) |

| | |

|Resource Links (review links|Find-a-Doctor |

|and add to favorites): | |

| |Aunt Bertha Community Resource Link |

| |My Prime (MSHO formulary) |

| |Medical prior authorization forms |

| | |

| |Bridgeview Company Website: |

| |Bridgeview Company Website (Bridgeview Company Website) |

| |BlueRide Portal (online link through Bridgeview Portal for Care Coordinators to schedule and view rides |

| |M360 (online link through Bridgeview; read only application to view eligibility, utilization review, claims and |

| |authorizations) |

| |Review the following: |

| |Bridgeview Care Coordination User Guide |

| |Elderly Waiver service agreement reason codes (quick reference to select code to communicate service agreement |

| |notifications to EW providers and members) |

| | |

| |Department of Human Services (DHS): |

| |DHS Document Library (search eDocs) |

| |DHS (Bulletins, CountyLink, DHS Partners and Providers) |

| |MN DHS Trainings |

| |PolicyQuest |

| |TrainLink |

| |MHCP Supplies and Equipment Coverage Guide |

| |EW Rate Limits |

| |MN-ITS (verify MA eligibility) |

| | |

| |DHS Manuals: |

| |Community Based Services Manual (CBSM) (The CBSM is a resource for lead agencies who administer home and community-based |

| |services that support older adults and people with disabilities) |

| |Minnesota Health Care Programs MHCP Provider Manual |

| |MHCP Eligibility Policy Manual |

| |CBSM Elderly Waiver |

| | |

| |Other: |

| | (to search DHS EW enrolled providers) |

| | |

| | |

|Trainings (training tab on | |

|CC Website) |Complete Blue Plus Model of Care Training or review most recent Fall Training slides. Complete Attendance Sheet and |

| |maintain in new care coordinator’s records. |

| |Review any other applicable trainings. |

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