### Medical policy and prior authorization Learn about medical policies and review the Blue Cross medical policy database. Learn about prior authorizations and find out whether a service needs a prior auth. [View medical policy and prior authorization information](/providers/medical-management "Medical management") ### Autism Spectrum Disorder (ASD) Early Detection Resources Developmental, Screening and Identification, and additional resources from a joint Minnesota state agency effort and Center for Disease Control. [View Autism Spectrum Disorder resources](https://bluecrossmn.widen.net/content/ay7nmny5rw/original/autism-resource-nk.bs.ef.pdf "autism-resource-nk.bs.ef.pdf") ### Reducing chronic opioid use Tools to reduce chronic opioid use, such as a provider toolkit for acute opioid prescribing and information on covered alternative pain management therapies for Medicaid. [Meeting the challenges of opioids and pain](https://stratishealth.org/wp-content/uploads/2020/07/Opioid-provider-toolkit.pdf) ### Blue surgery safety checklist Adopted from the World Health Organization Surgical Checklist, this checklist includes 19 steps designed to improve communication and consistency of care within surgical teams. [Download the checklist](https://bluecrossmn.widen.net/content/4wscmz0tac/original/p11ga_12751530-blue-surgery-provider-checklist.pdf "p11ga_12751530-blue-surgery-provider-checklist.pdf") ### Electronic prior authorization (ePA-Rx) for prescription drugs How to submit an electronic prior authorization request for a prescription drug based on a medical necessity review. [Learn more about ePA-Rx](/providers/tools-resources/electronic-prior-authorizations-epa-prescription-drugs "Electronic prior authorizations (ePA) of prescription drugs") ### Formularies and drug programs Access forms and information related to prescription drug benefits. [Learn more about prescription drug benefits](/understanding-health-insurance/prescription-drugs "Prescription drugs") [Request for prescription drug coverage exception](https://www.myprime.com/en/coverage-exception-form.html) ### Home care service authorization process: MSHO, MSC+ and Families & Children Information for county case managers and home care providers. [Learn more about home care service authorization process](https://bluecrossmn.widen.net/s/s6h2vd2gdn/p11ga_12751788-service-_authorization-_process-_8_8_2014.pdf) ### Nursing facility authorization process: MSHO and MSC+ Information for county case managers and nursing facility providers. [Learn more about nursing facility authorization process](https://bluecrossmn.widen.net/content/hsekg6qdv2/original/p11ga_12751794-service-auth-process-nursing-facilities-msho-mscplus.pdf "p11ga_12751794-service-auth-process-nursing-facilities-msho-mscplus.pdf") ### Reimbursement policies Access Blue Cross reimbursement policies [View reimbursement policies](/providers/tools-resources/reimbursement-policies "Reimbursement policies") ### Quality Measurement Specifications Availity Learning Center The Centers for Medicare and Medicaid Services (CMS) Star Ratings Program is intended to measure the overall quality of care and services Medicare Advantage plans provide to Medicare beneficiaries. [Log in at Availity Learning Center](https://bcbsmn.availitylearningcenter.com/) ### HIPAA companion guides Use these guides for implementing the ASC X12N Standard Transactions. [HIPAA 270/271 Companion Guide](https://bluecrossmn.widen.net/content/ykuyzwmeqq/original/p11ga_16808928-hipaa_270_271_companion_guide.pdf "p11ga_16808928-hipaa_270_271_companion_guide.pdf") [HIPAA 276/277 Companion Guide](https://bluecrossmn.widen.net/content/4g7ejutgjq/original/p11ga_12812348-hipaa_276_277_companion_guide.pdf "p11ga_12812348-hipaa_276_277_companion_guide.pdf") ### ICD-10 resources [CMS ICD-10 Provider Resources](https://www.cms.gov/Medicare/Coding/ICD10/index) [American Health Management Association](http://www.ahima.org/) [AAPC](https://www.aapc.com/) [ICD-10 Training Tool from World Health Organization](http://apps.who.int/classifications/apps/icd/icd10training/ICD-10%20training/Start/index.html) [ICD-10 Watch](http://www.icd10watch.com/) [Medical Terminology Course with ICD-10 Training from Des Moines University](https://www.dmu.edu/medterms/welcome/) [Medical codes — what's in and what's out](https://bluecrossmn.widen.net/content/ffjrf1nlnv/original/p11ga_12864814-icd-10medicalcodes.pdf "p11ga_12864814-icd-10medicalcodes.pdf") ### Provider Toolkit Can't find what you're looking for here? Check the Provider Toolkit. [View Provider Toolkit](/providers/tools-resources/provider-toolkit) ### Provider contact information Mailing addresses, phone and fax numbers. [View provider contact information](/providers/contact-us-healthcare-providers)