Get Bluecare Plus

Filling out the Bluecare Plus form online can streamline the process of obtaining necessary home health services. This guide provides detailed steps to help you accurately complete each section of the form, ensuring all required information is provided.

Follow the steps to successfully complete the Bluecare Plus form.

1. Click ‘Get Form’ button to obtain the Bluecare Plus online form and access it in the provided editor.
2. Begin by entering the member's name in the designated field. Ensure that the name matches the documentation available.
3. Input the member ID number accurately in the corresponding field, as this is essential for processing the request.
4. Fill in the diagnosis of the member. It is important to provide a clear and specific diagnosis to facilitate appropriate service requests.
5. Enter the date of birth (DOB) of the member. Verify that the date format used aligns with the required format within the form.
6. Select the appropriate code (ICD-9 Code) that corresponds to the member's diagnosis. Ensure the chosen code is the most relevant to the recorded diagnosis.
7. List any co-morbidities of the member in the provided section. This information supports medical decisions regarding the home health request.
8. Indicate the service(s) requested and the expected surgery date if applicable. Be specific about the services to ensure they align with the member’s needs.
9. State the number of visits requested. This number should reasonably reflect what is necessary for the member’s care.
10. Answer whether the member is homebound and provide reasoning if applicable. This information helps determine eligibility for home health services.
11. Indicate if an Oasis and 485 are on file and attach any required documents as necessary. This may include prior assessments pertinent to the request.
12. Confirm if there is a physician order. If yes, specify the frequency and duration of services as well as the initial evaluation date.
13. Document the dates of service being requested and include an assessment with clinical findings that describe measurable physical impairments.
14. Outline the treatment plan and set short and long-term goals for home health therapy, ensuring they are specific and measurable.
15. If applicable, provide information about the patient’s compliance with the home exercise program and list any barriers if they are not compliant.
16. For skilled nursing visits (SNV), detail the specific reasons for the request, such as assessment or care needs.
17. Complete any necessary information regarding the facility or agency, including names, address, provider numbers, and contact details.
18. Finally, review all entered data for accuracy and completeness. Once confirmed, save changes, and prepare to download, print, or share the completed form.

Complete your Bluecare Plus documentation online today to facilitate timely healthcare services.