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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Intensive Residential<br />

Treatment Services<br />

(IRTS) (Medicaid<br />

Government Programs<br />

Only)<br />

Coding Policies <strong>and</strong> Guidelines (Behavioral Health)<br />

<strong>Blue</strong> <strong>Cross</strong> will reimburse certain categories <strong>of</strong> providers for these<br />

services, which were formerly reimbursed through the <strong>Minnesota</strong><br />

Department <strong>of</strong> Human Services (DHS).<br />

This change was effective for all enrollees in the Prepaid Medical<br />

Assistance Programs (PMAP), <strong>Minnesota</strong> Senior Health Options<br />

(MSHO) <strong>and</strong> <strong>Minnesota</strong> Disabled Health Options (MnDHO).<br />

Crisis response services include:<br />

Crisis assessment<br />

Crisis intervention<br />

Crisis stabilization<br />

Community intervention<br />

The following summarizes provider eligibility, member eligibility<br />

<strong>and</strong> operational requirements for <strong>Blue</strong> Plus providers <strong>of</strong> these<br />

services.<br />

All members <strong>of</strong> the following <strong>Blue</strong> Plus products are eligible to<br />

receive these services:<br />

<strong>Blue</strong> Advantage (<strong>Blue</strong> Plus PMAP, <strong>and</strong> <strong>Minnesota</strong> Senior<br />

CarePlus)<br />

<strong>Minnesota</strong>Care<br />

Care<strong>Blue</strong><br />

Group numbers for these products are listed below.<br />

<strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> 06/19/12 11-9

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