1 Fev, 2022

HouseCall by Blue: Extending medical care into the home

You may have patients eligible for HouseCall by Blue, a home-based medical care program offered by BCBSRI in collaboration with Landmark Health, a New England-based in-home medical group. This communication offers a snapshot/overview of the program and patient eligibility.


Mobile medical care
Physician-led medical, behavioral, and palliative care, as well as social services brought into the homes of BCBSRI Medicare Advantage members with multiple chronic conditions
Care collaboration
You remain the PCP. HouseCall by Blue services are supplemental and at no additional cost to your patients.
Routine and urgent Visits
In-home medication recommendations, fall risks, SDoH screenings, advance care planning, lab draws, IV fluids and Lasix, catheter insertion and removal, and more
24/7 provider call center
Your most vulnerable patients have access to an around-the-clock, provider-staffed call center.

Identifying eligible patients:

  • Eligibility is based on a patient’s current health state, number of chronic conditions, and complex health needs. All eligible patients have multiple chronic health conditions, and may also face social and behavioral barriers to health.
  • To check on eligibility for a patient, review the BCBSRI Monthly Patient Panel File for a “HouseCall by Blue" flag.
  • You can also call Landmark Health to check eligibility or request services for eligible patients at 1-877-255-3259, Monday-Friday, 9 a.m.-5 p.m. EST.

Ongoing communication:

  • You will receive a letter when your patient(s) is/are eligible for HouseCall by Blue. Visit notes will be shared with your office based on your preferred method of communication.
  • Landmark’s community health advocates will share a list of eligible patients and their engagement status with your practice on a regular basis.

Working together:

The local Landmark provider group looks forward to collaborating with you on patient needs and goals. Best practices for collaboration include:

  • Landmark community health advocates working with your practice’s provider and nursing team and office staff to ensure patient notes are shared effectively and communication channels are open.
  • Landmark embedding in the practice office to call eligible patients or conduct warm transfer calls.
  • Meetings with your practice, Landmark Health, and BCBSRI to discuss program opportunities and successes.

Contact Landmark:

Call Landmark to request an in-service for office staff, discuss patient care, receive an updated list of eligible patients on your panel, or refer a patient to Landmark. Referrals will be considered between Landmark and BCBSRI. Call 1-877-255-3259, Monday-Friday, 9 a.m.-5 p.m., EST.

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