To enhance skilled home health care in our region, Independence Blue Cross (IBX) will delegate skilled home health network development and management, referral coordination and authorization management, and claims payment processing for its Medicare Advantage members with Personal Choice 65SM or Keystone 65 to tango, an independent company, effective May 1, 2025.
Delegated functions
Starting May 1, 2025, tango will manage:
Network development and management: Developing, maintaining, and credentialing a robust network of skilled home health care providers.
Referral coordination and authorization management: Efficient management of skilled home health referrals, referral coordination, and authorizations.
Claims payment processing: Timely and accurate claims payment for the services provided under this delegation.
Delegated services
tango's delegated skilled home health services include:
Skilled nursing services on an intermittent/part-time basis
Home health aide services on an intermittent/part-time basis
Physical therapy
Occupational therapy
Speech-language pathology
Medical social work
New claim payment policy
We will share more information when the new Medicare Advantage policy, MA00.054: tango Home Health Care Services Management, is published on May 1, 2025.
Home health referrals
Effective May 1, 2025, all skilled home health referrals for IBX Medicare Advantage members should be sent to tango. A referral can be submitted to tango through multiple channels. tango has access to several hospital discharge planning platforms, including WellSky Careport/CarePort, Strata, MorCare, and Ensocare and can access these systems and retrieve the referrals directly without any change needed to the hospital discharge planning process.
If the hospital you are referring your patient from is not using one of these discharge planning platforms, please reach out to tango for an alternative referral submission channel.
For sub-acute facilities and community-based providers, a skilled home health referral can be made directly to tango at
referralrequest.com.
tango will be hosting live webinars to familiarize facilities and referring providers with the tango model, including detailed guidance on submitting skilled home health referrals for your patients.
To register for a webinar, please reach out to tango's dedicated Provider Relations team at
providerrelations@tangocare.com.
For additional questions or more information, contact tango directly:
24-0199