### Follow these steps to request a contract. ### Interpreters #### Contract process Please note that reviewing a contract request does not guarantee that you will be offered a contract. To have a contract request reviewed, please complete the following steps: **Step 1:** Complete a [Contract Request Form](https://bluecrossmn.widen.net/content/imb1cfmil2/original/contract-request-form.pdf "contract-request-form.pdf") For the Provider Specialty, write in “Interpreter”. **Step 2:** Complete the [Interpreter Agency Information Update Form](https://bluecrossmn.widen.net/content/tkt3ruy61w/original/interpreter-agency-information-update-form.pdf "interpreter-agency-information-update-form.pdf"). **Step 3:** Save and email the form(s) to or mail to: Blue Cross and Blue Shield of Minnesota Provider - PDO PO Box 982809 El Paso, TX 79998-2809 The process for approved Interpreter contract requests typically takes 60 days to complete. ### Personal care assistants (PCAs) #### Contract process Please note that reviewing a contract request does not guarantee that you will be offered a contract. To have a contract request reviewed, please complete the following steps: **Step 1:** Complete a [Contract Request Form](https://bluecrossmn.widen.net/content/imb1cfmil2/original/contract-request-form.pdf "contract-request-form.pdf") For the Provider Specialty, write in “Personal Care Agency (PCA)”. **Step 2:** Complete a [PCA Information Form](https://bluecrossmn.widen.net/content/pnqqwcj5sv/original/pca-provider-information-form-102215.pdf "pca-provider-information-form-102215.pdf") **Step 3:** Gather the following proof of insurance: - Commercial General Liability $1M per occurrence / $3M in aggregate - Professional Liability coverage of $1M / $3M in aggregate - Worker’s compensation insurance of $500,000 - Fidelity Bond of $20,000 - Surety Bond of $50,000 Name “Blue Cross Blue Shield of Minnesota” as a certificate holder on the document. **Step 4:** Complete an [Individual PCA Data Sheet](https://bluecrossmn.widen.net/content/8enqicy4fn/original/individual-pca-data-sheet.xlsx "individual-pca-data-sheet.xlsx") **Step 5:** Save and email the form(s) to or mail to: Blue Cross and Blue Shield of Minnesota Provider - PDO PO Box 982809 El Paso, TX 79998-2809 The process for approved PCA contract requests typically takes 60 days to complete. ### Recuperative care providers Please complete a [contract request form.](https://bluecrossmn.widen.net/content/imb1cfmil2/original/contract-request-form.pdf "contract-request-form.pdf") When requesting a contract or new location, please submit the [MN Uniform Practitioner Change form](https://bluecrossmn.widen.net/content/ga5x6e8vne/original/mn-uniform-practitioner-change-form.pdf "mn-uniform-practitioner-change-form.pdf") for each practitioner (required). **How to submit form:** Email to: Mail to: Blue Cross and Blue Shield of Minnesota Provider - PDO PO Box 982809 El Paso, TX 79998-2809 The process for approved contract requests typically takes 60-90 days to complete. The timing is dependent on whether facility or practitioner credentialing by Blue Cross is needed. The Blue Cross Credentialing team will notify you if credentialing is required. ### Transportation providers #### Contract process Please note that reviewing a contract request does not guarantee that you will be offered a contract. To have a contract request reviewed, please complete the following steps: **Step 1:** Complete a separate [Contract Request Form](https://bluecrossmn.widen.net/content/imb1cfmil2/original/contract-request-form.pdf "contract-request-form.pdf") for each type of transportation service your business provides. For the Provider Specialty on the contract request form, write in one of the following as applicable: - Special Transportation Services (STS) - Common Carrier - Common Carrier - Volunteer Drivers **Step 2:** Complete the [Provider Information Form](https://bluecrossmn.widen.net/content/9jlkppijlw/original/p11ga_14245211-common-carrier-and-sts-information-form.pdf "p11ga_14245211-common-carrier-and-sts-information-form.pdf") **Step 3:** Gather and/or complete these forms and information: - Copy of STS MNDOT Vehicle Certificate for each vehicle (only required for STS) - Copy of certificate of registration with the Office of the Secretary of State of Minnesota - Copy of [Driver Roster (XLS)](https://bluecrossmn.widen.net/content/xsxmsdbfao/original/p11ga_14245230-roster_3-17-16.xlsx "p11ga_14245230-roster_3-17-16.xlsx") (not required for volunteer drivers) - Proof your employees and drivers have completed and passed the Net Study background check - Proof of insurance – Send a copy of the Acord Certificate of Liability Insurance (not required for volunteer drivers) - Blue Cross requires $1 million in auto liability in the combine single limit (each accident) auto insurance liability coverage. - Name “Blue Cross Blue Shield of Minnesota” as a certificate holder on the document. **Step 4:** Save and email the form(s) to or mail to: Blue Cross and Blue Shield of Minnesota Provider - PDO PO Box 982809 El Paso, TX 79998-2809 The process for approved Transportation contract requests typically takes 60 days to complete. #### **Helpful resources** [MHCP — Procedure Codes, Payment Rates](http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_016391#) [Blue Plus Provider Manual](https://bluecrossmn.widen.net/content/a4mkawcwbn/original/blue-plus-manual.pdf "blue-plus-manual.pdf") [Provider Policy and Procedure Manual](https://bluecrossmn.widen.net/content/rjlwfpvjsk/original/bcbsmn-provider-policy-and-procedure-manual.pdf "bcbsmn-provider-policy-and-procedure-manual.pdf")