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Send nursing facility request form via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out 508C BlueCare Plus (HMO SNP) Skilled Nursing Facility Request Fax Form
- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'Member Information' section. Enter the member's name, date of birth, identification number, and contact details. Ensure accuracy as this information is crucial for processing.
- Indicate whether the member is enrolled in CHOICES or ECF CHOICES by selecting 'Yes' or 'No'. If applicable, provide details about any mental illness or intellectual disabilities.
- In the 'Skilled Nursing Facility Information' section, input the expected admission date, facility name, and contact information. This helps streamline communication with the facility.
- Complete the 'Ordering Physician Information' and 'Admitting Physician Information' sections with relevant physician details to ensure proper coordination of care.
- Fill out clinical information including diagnosis, lab results, and functional status prior to admission. This data is essential for assessing care needs.
- Review all entries for completeness and accuracy before submitting. Once finalized, fax the completed form to BlueCare Plus Utilization Management Department at 1-866-325-6698.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2017 | 4.9 Satisfied (59 Votes) |
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What insurance is considered TennCare?
As a mission-driven, not-for-profit company, weve been part of the community for 75 years as the trusted insurer for individuals, families and employees in Tennessee. So, you can expect excellent coverage, benefits and support for all your health care needs.
Is BlueCare the same as TennCare?
TennCare is the state of Tennessees Medicaid program. It provides healthcare to mostly low-income pregnant women, parents or caretakers of a minor child, children, and individuals who are elderly or have a disability. To get Medicaid, you must meet the income and resource limits. You can apply anytime for TennCare.
What is the fax number for BlueCare Plus Tennessee?
Fax: 1-866-325-6698 Enrollment in BlueCare Plus Tennessee depends on contract renewal.
Is BlueCare Tennessee good insurance?
BlueCare is owned and operated by Volunteer State Health Plan, Inc. (VSHP), which is an independent licensee of the BlueCross BlueShield Association and a licensed affiliate of its parent company, BlueCross Blue Shield of Tennessee.
Is BlueCare a form of TennCare?
TennCares health plans are AmeriGroup (part of Anthem), BlueCare and TennCare Select (part of BlueCross and BlueShield of Tennessee), and UnitedHealthcare Community Plan (part of UnitedHealthcare).
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