Name of Manual - Blue Cross and Blue Shield of Minnesota

Prepaid Medical
Assistance Program
(PMAP), and Minnesota
Senior Care Plus
(MSC+) / Blue
Advantage
Health Care Options
The Blue Advantage Prepaid Medical Assistance Program
(PMAP) and Minnesota Senior Care Plus (MSC+) are Minnesota
health care programs funded jointly by the state and federal
governments. Blue Plus has a contract with Minnesota Department
of Human Services (DHS) to provide services for specific county
Medicaid enrollees (MSC+ is for seniors 65+).
Blue Plus Blue Advantage members can be identified by ID
numbers beginning with “XZG8” and group numbers that start
with “PP0”. Enrollment eligibility may change monthly. Providers
must verify eligibility through any electronic data system currently
being used to access Medical Assistance eligibility such as
Medifax, BLUELINE, the Department of Human Services MN-
ITS, provider web self-service, or Blue Cross provider services.
Members designate a primary care clinic to provide or coordinate
their care. No referrals are required for access to services from
providers who participate in the Blue Plus or Aware networks,
except for chiropractic services. Members must obtain
chiropractic services from providers in the Select Chiropractic
network. There are some providers in the Public Programs referral
network that are not listed in the provider directory (i.e., nonambulatory
transportation, hearing aids, and public health). For
behavioral health, members have direct access to in-network
providers. In rare instances, out-of-network exceptions may be
considered. Call the number on the back of the member’s ID card,
or call 1-800-262-0820 (local 651-662-5200). Providers should
file their claims with Blue Cross. Please refer to Chapter 3 of the
Blus Plus Manual for more detailed information on Government
Programs.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (12/27/10) 5-21