What are the main components of the Bluestone ADAPT Program?

Primary Care – Bluestone’s physicians, nurse practitioners, and physician assistants specialize in the unique needs of patients with disabilities. They provide primary care services on-site or via telehealth, eliminating the need for staff to transport residents and keeping the patient comfortable in their own home. Services include:

• Routinely scheduled preventative and acute medical care
• Referral coordination
• Partnerships with local specialty clinics
• Ancillary services (labs, imaging, etc.)

Care Coordination (available through Minnesota’s SNBC & MSHO programs) – Bluestone Care Coordinators (RN or LSW) assess a person’s physical, mental and social determinants of health. Care Coordinators can facilitate services and communication across the care team while keeping the best interests of the patient in mind. While other Care Managers provide episodic support, a Care Coordinator supports a patient long term to ensure all needs are met. Services include:

• Annual health risk assessments and care plan development
• Navigating health plan benefits and answering insurance questions
• Scheduling outside resources and arranging medical transportation
• Ordering durable medical equipment and completing authorizations and benefit exceptions

Behavioral Health Services – Bluestone provides a dual approach to managing psychiatric diagnoses and behaviors.

Licensed psychiatry team involved through medication management, monitoring behaviors, and collaboration with Bluestone Provider and Care Managers
Behavioral Health Care managers, available to patients on Medicare, offer non-pharmacological strategies and interventions for behaviors. They provide education and support to staff and family, and collaborate with Bluestone’s primary and psych provider.