Each HealthPartners Minnesota Senior Health Options (MSHO) and Minnesota Senior Care Plus (MSC+) member has an assigned care coordinator. Here, you’ll find forms, guides, templates and clinical resources for MSHO/MSC+ care coordinators.
- DHS Consumer Directed Community Support (CDCS) Policy Manual
- DHS Community First Services and Support (CFSS) Policy Manual
- DHS 3936 - My Move Plan
- DHS 6914 - Caregiver Questionnaire (PDF)
- HealthPartners pre-admission screen process (PDF)
- Comprehensive Care Advocacy’s In Lieu of Services work aid (PDF)
- MSHO Unable to Reach/Decline Interdisciplinary Care Plan (PDF)
- MSHO Unable to Reach /Decline Interdisciplinary Care Plan work aid (PDF)
- MSC+ Care Coordinator Change (DOCM)
- MSC+ Care Coordinator Introduction (DOCM)
- MSC+ Support Plan to Member (DOCM)
- MSC+ Support Plan to MD or Care Team (DOCM)
- MSC+ Unable to Reach (DOCM)
- MSC+ Member Services Support Plan Change (DOCM)
- MSHO/MSC+ Provider Support Plan Cover Letter (DOCM)
- MSHO Care Coordinator Change (DOCM)
- MSHO Care Coordinator Introduction (DOCM)
- MSHO Support Plan to Member (DOCM)
- MSHO Support Plan to MD or Care Team (DOCM)
- MSHO Member Services Support Plan Change (DOCM)
- MSHO NH Authorized Representative (DOCM)
- MSHO Unable to Reach (DOCM)
- MSHO Unable to Reach/Decline Support Plan to Member (DOCM)
- MSHO Unable to Reach /Decline Support Plan to PCP or Care Team Including UTR/Decline (DOCM)
- DHS Application Access Request (DOCM)
- DHS 5181 – Long Term Care (LTC) Communication Form (PDF)
- DHS 5841 – Recommendation for State Plan Home Care Services (PDF)
- DHS 6037 – Home and Community-Based Services (HCBS) Transfer and Communication Form (PDF)
- DHS 6037A – Home and Community-Based Services (HCBS) Transfer and Communication Form: Scenarios with People on AC, EW or ECS (PDF)
- HealthPartners Authorization to Disclose PHI for MSC+ (PDF)
- HealthPartners Authorization to Disclose PHI for MSHO (PDF)
- HealthPartners Benefit Exception Inquiry Form (DOCM)
- HealthPartners Benefit Exception Instructions (PDF)
- HealthPartners CFSS UM Communication Form (PDF)
- HealthPartners Denial Termination/Reduction (DTR) Form (PDF)
- HealthPartners Denial Termination/Reduction Instructions (PDF)
- HealthPartners Service Authorization Form (DOCM)
- Health Information Library
- HealthPartners clinical resources – Disease and case management
- HealthPartners clinical resources – Minnesota rare disease mandate
- HealthPartners clinical resources – Transplant Centers of Excellence
- HealthPartners clinical resources – Weight loss and bariatric surgery
- Language and Interpreter Services
- MN Aging and Disability Resources
- Member Enrollment – Inquiries to Enroll in MSHO/MSC+ (PDF)
- MSHO Supplemental Benefits HealthPartners Bluestone Flyer (PDF)
- MSHO Supplemental Benefits HealthPartners Bolger Order Form (PDF)
- MSHO Supplemental Benefits HealthPartners Fruit Veggie Rx Referral Form (PDF)
- MSHO Supplemental Benefits HealthPartners GrandPad Brochure (PDF)
- MSHO Supplemental Benefits HealthPartners GrandPad Referral Form (PDF)
- MSHO Supplemental Benefits HealthPartners Juniper Classes
- MSHO Supplemental Benefits Juniper tri-fold brochure (PDF)
- MSHO Supplemental Benefits HealthPartners OTC Catalogue (PDF)
- MSHO Supplemental Benefits HealthPartners OTC Ordering (PDF)
- MSHO Supplemental Benefits HealthPartners SilverSneakers Member Flyer (PDF)
- MSHO Supplemental Benefits HealthPartners Silver Sneakers ID workaround (PDF)
- Personal Care Assistant Provider List (PDF)
- Safe Disposal of Medications Locations Flyer (PDF)
- HealthPartners condition resources – Alcohol and risky drinking
- HealthPartners condition resources – Depression
- DHS Adult Mental Health Programs and Services
- Mental Health Association of MN
- National Alliance of Mental Illness
- National Institute on Alcohol Abuse and Alcoholism
- HHS Substance Abuse and Mental Health Services
- Chart Audit Protocols – DHS Care Plan Audit – Elderly Waiver (PDF)
- Chart Audit Protocols – DHS Care Plan Audit – Non-Elderly Waiver (PDF)
- Delegate Care Coordinator Requirements Guide (PDF)
- Letter Attachment – Appeal Rights MSHO and MSC+ (PDF)
- Letter Attachment – Language block and Nondiscrimination Notice MSC+ (PDF)
- Letter Attachment – Language block and Nondiscrimination Notice MSHO (PDF)
- Policy – HealthPartners MSHO/MSC+ Care Coordination Program (PDF)
- Policy – HealthPartners MSHO/MSC + Delegation Oversight for Care Coordination (PDF)
- Policy – HealthPartners Oversight of First Tier, Downstream and Related Entities (FDRs') Compliance (PDF)
Monday – Friday
8 a.m. – 6 p.m. CT
952-967-7029 (TTY 711)
888-820-4285 (TTY 711)
Monday – Friday
8 a.m. – 6 p.m. CT
952-967-7998 (TTY 711)
866-885-8880 (TTY 711)