Name of Manual - Blue Cross and Blue Shield of Minnesota

Blue Plus
Member Information
Introduction to
Blue Plus ®
Blue Plus Network
Participation
We developed this chapter for all Blue Plus providers and their
business staff. The information contained in this chapter will give
the referral (specialty care) providers access to Blue Plus
information. The Blue Plus Provider Manual for participating
primary care clinics (PCCs) details the information necessary for
the PCC to conduct business with Blue Plus and is intended as a
complement to this manual.
Blue Plus, an affiliate of Blue Cross and Blue Shield of Minnesota,
is a state-certified health maintenance organization (HMO). In
most Blue Plus plans, Members select a participating PCC that
coordinates the patient’s medical care and authorizes treatment by
specialists when necessary.
Because Blue Plus is an affiliate of Blue Cross and Blue Shield of
Minnesota, Blue Plus is subject to most of the same policies and
procedures as Blue Cross and Blue Shield of Minnesota.
To be listed as a participating Blue Plus provider, you need to have
a signed Blue Plus agreement. After participation is established in
the Aware ® network, you can make a written request for a Blue
Plus agreement. Send this request to:
Blue Cross and Blue Shield of Minnesota
Blue Plus Contracting
P.O. Box 64560
St. Paul, MN 55164-0560
Blue Plus will review the request and make a written response.
Note: Blue Plus will not offer Blue Plus agreements to all
requesting health care providers.
Department of Health The Minnesota Department of Health (MDH) regulates HMOs
licensed in Minnesota. It governs the fully insured HMO products,
which includes Blue Plus. The MDH is involved in approving and
monitoring contract changes, provider network access and
changes, appeals, identification cards, quality improvement, and
much more.
6-2 Blue Cross Blue Shield of Minnesota Provider Policy and Procedure Manual (12/27/10)