Documents & Forms Results

2027 SecureBlue MSHO STAR Rating

Blue Plus Member Appeal Rights Process

Appeals process for the following plans: Blue Advantage Families and Children, MinnesotaCare and Minnesota Senior Care Plus (MSC+)

SecureBlue Privacy Statement

Notice-of-Privacy-Practices-F7676R15.pdf

Federal Employee Program Consent for Case Management

Disabled Dependent Application

Autorización para la divulgación de información de salud (ADHI)

Authorization for Disclosure of Health Information Form - Spanish

Notice-of-Privacy-Practices-F7676R15.pdf

Annual member notice

Authorization-for-Disclosure-of-Health-Information.pdf