Blue Cross MN
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Blue Plus New Care Coordinator Checklist
| |This checklist is a training tool for new Care Coordinators. Refer to the MSHO and MSC+ Care Coordination Guidelines for |
| |complete details. |
| |Review the following links: |
|Care Coordinator Tools | |
| |Blue Plus Care Coordinator Website (see below) |
| |Community Based Services Manual (CBSM) |
| |DHS |
| |MHCP Provider Manual |
| |Prepaid MHCP Manual |
| | (to search DHS enrolled providers) |
| |My Prime (MSHO formulary) |
| | |
| |MHCP Supplies and Equipment Coverage Guide |
| |EW Rate Limits |
| |BlueRide Portal (LogistiCare portal for Care Coordinators to schedule and review rides) |
| |DHS Training for MMIS |
| | |
| |Review the following links in the Care Coordinator website to ensure Care Coordinator understands where to find Blue Plus |
|Care Coordinator Website |Care Coordination Resources: |
| | |
| |Manual and Reference Guides: these sections include guidelines, forms, letters and resource information. |
| |MSHO |
| |MSC+ |
| |Post Discharge Resources for SecureBlue MSHO |
| |SecureBlue MSHO Supplemental Benefits |
| |STAR Program Information and Resources |
| |Communication: this is where Communiques are posted. |
| |Training: to view previous Care Coordinator trainings/webinars |
| |Resource Management: view Blue Plus resources, Primary Care Network Listing, MSHO Enrollment Resources, and other helpful |
| |links |
| |Amerigroup: Information on accessing the Amerigroup systems including manuals, trainings, and resources. |
| |BlueRide – LogistiCare: BlueRide phone number and links to LogistiCare resources. |
| |Find a Doctor link: link to Find a Doctor tool on Blue Cross Blue Shield of MN website |
| |Contact Us: Key contacts for frequently contacted departments |
| |SecureBlue MyPrime Rx Formulary: link to find covered Rx drugs (MSHO only) |
| | |
| | |
|Tasks |Complete the Following Tasks: |
| | |
| |Read Care Coordination Guidelines as applicable to each Care Coordinator |
| |MSHO & MSC+ Community Care Coordination Guidelines |
| |MSHO & MSC+ Nursing Home Care Coordination Guidelines |
| |Notify Partner Relations Team requesting access to Amerigroup systems. Include name, e-mail address, phone |
| |Get set up with Availity and complete ICR training, if applicable. (see below) |
| |Review MSHO and MSC+ product differences using resources under the SecureBlue MSHO Enrollment Resources link |
| |Review supplemental benefits available to MSHO members |
| |Read Amerigroup Manuals including: |
| |CareCompass-Member360 Manual |
| |ICR Manual |
| |Review current DHS MCO Audit Protocol (on the Care Coordination Audits page under the Resources link) |
| |Review 6.02.02 Instructions for the Collaborative Care Plan |
| |Review 6.22.01 Transition Log Instructions |
| |Complete the following trainings found on the Care Coordination portal under Training: |
|Trainings | |
| |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. |
| | |
| |Complete Blue Plus 101 Training module |
| | |
| |Review any other applicable trainings |
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