Care Coordination – Blue Cross and Blue Shield of Minnesota
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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) |
| |MnSP users accessing MnSP EW RS Tool must complete MnSP 1000 or complete MnSP 1001, if MnSP 1000 has previously been |
| |completed (via Trainlink). |
| |At a minimum, Care Coordinators working with members in the community must or must have completed trainings MnCAT steps |
| |1&2 (by May 1st) prior to MnCHOICES Revision launch (Nov 2021), wait for further direction regarding MnCAT step 3. |
| |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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