Care coordination resources

• Training Manual  
• Community Based Services Manual 
• Minnesota Health Care Programs Manual

• Advance Directive Planning 
• Assessment Schedule
• Audit 
• Behavioral Health Home Coordination
• Benefit Inquiry Exception Request
• Care Coordination Operations - CC Ratios 
• Care Coordination Delegation Oversight 
• Case Management Accountability (SNBC, SNBC Enhanced)
• Choice of Primary Care Provider
• Collaboration with Tribal Case Managers
• Coordination with Certified Community Behavioral Health Clinics
• Denial, Termination or Reduction (DTR)
• Evaluation of Care Coordinator's Performance
• Home Care
• IDT Process for Delegates 
• Interdisciplinary Care Team 
• Most Vulnerable Beneficiaries Identification
• Pre-Admission Screening Process
• Provider and Vendor Concern Reporting
• Range of Choice
• SNBC and I-SNBC Members Turning 65
• Remote Assessment
• Transfer Responsibilities
• Transitions of Care 
• Unable to Reach/Refusing Member

• Bridging
• Durable Medical Equipment
• Gloves
• Hospice
• Housing Stabilization Services
• Incontinence Products
• Nutritional Products

• Notification of Care Transition Fax
• Transition of Care Policy
• Transition Log 
• Transition Log Instructions
• Transition of Care Hospital Readmission Prevention Resource Guide

DTR

• DTR Form
  • Form Directions
• Frequently Asked Questions
• Denial, Termination or Reduction Policy

Benefit Exceptions

• Benefit Exception Inquiry (BEI) 
  • Form Instructions
• Benefit Inquiry Exception Request Policy

Paper Clip Documents

• Breast Cancer Screening
• Colorectal Cancer Screening
• Depression
• Diabetes
• Hyperlipidemia Statins Adherence

• Air Conditioner PCP Support letter
• Care Coordinator Contact Info Update letter
• Change of Care Coordinator letter
• Documents letter
• Due for Dental Visit Letter
• Eligibility Renewal Reminder letter
• Member Refusal letter
• On-going No Contact letter
• Post-ER Visit Dental letter
• Post-Visit letter
• Welcome Letter
• PCP Letter (Updated 10.2022)
• PCP Letter-Unable to Reach or Refusing

Assessment and Care Plan

• Assessment Checklist 
• Care Plan - Version 3 
• Care Plan Instructions
• Medica Leave-Behind Document (Revised 9/2023) 
• Medication List Form 
• Member Engagement Questionnaire 
• Transfer Member Health Risk Assessment 
• Member Signature Page 
• Unable to Contact/Refusal Care Plan 
• Medication Safe Disposal Handout 
• Medication Safe Disposal Handout Instructions 

Referrals

• Claims Referral Guidelines
• Referral Request Form

Institutional

• Nursing Home Checklist for SNBC and SNBC Enhanced 
• Nursing Facility Chart Coverage Guide SNBC

Miscellaneous

Home Care At a Glance Grid
• Bridging Client Checklist
• Bridging Shopping Preference Form 
• Bridging Referral Form
• 2024 Medica CC HRA Completion Report
  
• Submit a Care Coordinator Concern
• SBAR for Interdisciplinary Team Case Consult

Health Improvement Programs

• Complex Case Management/Health Support Referral Form
• Tobacco Cessation Program
When and Where to Get Care
• Tips for Good Oral Health Tip Sheet
• SNBC Delta Dental Services

Contacts and Group Numbers

• Care Coordination Product Group Numbers for Special Needs Plans and MSC+ 
• Care Coordination Support Specialists Team Contact List
• Contact Numbers for Key Staff in Medica Care Coordination Products
• County, Care System and Agency Contact Numbers 
• Contracted PCA and Home Care Services (HCS)

• Provide A Ride Transportation Directory
• Provide a Ride Transportation Out of Network Request
• Provide A Ride Transportation Authorization Form for over 30 60 Mile Rule
• Provide A Ride Transportation Request Form
• Provide A Ride Transport Request Process Over 30 60 Mile
• Certification of need form CON special transportation