Name of Manual - Blue Cross and Blue Shield of Minnesota

Coding Policies and Guidelines (Home Health, Home Infusion, Hospice)
Definitions Home Health
Home health care is care provided in a patient's home by qualified
personnel.
Home Infusion
Home infusion is the administration of medications or nutrition
intravenously or through a feeding tube.
Hospice
Hospice care is a concept of care that provides palliative care
(rather than curative care) to a terminally ill patient and family.
Prior Authorization All home health services require prior authorization. Hospice
services require prior authorization only for FEP members and
notification for MHCP members. Prior authorization is required
for the following home infusion services:
11-2
Blood factor products
IVIG
Synagis
Home health, blood factor, IVIG and Synagis prior authorization is
performed by:
Utilization Management
Route code: R4-72
(651) 662-5520
1-888-878-0139 ext. 25520
Fax: (651) 662-1004
Address:
P.O. Box 64265
St. Paul, MN 55164-0265
For Government Program members
Utilization Management
Route code: R348
(651) 662-5540
1-800-711-9668
Fax: 651-662-4022 or 1-866-800-1665
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (07/12/12)