These are the pay sources that I bill using PDGM.

 

Humana

BCBS Medicare Advantage – (does not require a RAP just a Final).

BCBS MSHO (Medicare) – (does not require a RAP just a Final)

Tri Care

United Health Care Medicare Advantage

 

 

Marnie

Lakewood Health System

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Tuma, Darlene
Sent: Wednesday, August 19, 2020 9:14 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: PDGM vs non-PDGM

 

**External Sender**

 

Does anyone have a listing of which health plans are PDGM and which are not?

There may also be a difference between if they are a medicare advantage plan or someone on MSHO. I can’t get a straight answer from some of the health plans; I don’t know if they know what they are.

Thanks

 

Darlene Tuma, RN, PHN

Adult Health Supervisor

Le Sueur County Public Health

88 South Park Ave

Le Center, MN 56057

507-357-8249

Fax:  507-357-4223

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