Name of Manual - Blue Cross and Blue Shield of Minnesota

Health Care Options
MinnesotaCare
Program
MinnesotaCare is a state-subsidized health program. It is funded
by member premiums, the state of Minnesota, a tax on health care
providers and some federal matching dollars. It is open to all
Minnesotans who meet program and income guidelines and do not
have access to health insurance.
MinnesotaCare members can be identified by ID numbers
beginning with an “XZG8” and group numbers that begin with
“PP1”. Enrollment eligibility may change monthly. Providers must
verify eligibility through any electronic data system 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.
Member ID cards look similar to cards for PMAP.
Benefits for children under 21 and pregnant women are the same
as the PMAP benefits except for common carrier transportation.
Adults have a reduced benefit set and have some copays. Members
must designate a primary care clinic and referrals are not required
if within the participating provider network. All Blue Plus Referral
providers are included in the specialty network. Providers should
file their claims with Blue Cross.
See Chapter 3 of the Blue Plus Provider Manual for more complete
information.
5-22 Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (12/27/10)