Care coordination and paperwork
Minneapolis, MN

Minneapolis, MN Care Coordination Resources

A practical, locally specific starting point for coordinating a parent’s care in Minneapolis and the Twin Cities—health systems, caregiver support groups, meals, in‑home help, home health, and hospice.

Non-clinical administrative coordination. Not an emergency service.

Starting point: This page is a curated set of common resources—not a complete directory, ranking, or partner list. Please confirm details with each organization. Suggest an update.

Local snapshot

Minneapolis care coordination often means navigating a Twin Cities care landscape rather than a single campus. Major systems spread services across downtown Minneapolis, the University area, St. Paul, and suburban clinics—so a single episode (ER → inpatient → rehab → home services) can involve multiple portals, release forms, and different records teams. Practical friction points families run into here include parking/wayfinding at large hospital campuses, winter travel constraints, and coordinating rides for follow‑ups when clinic locations shift between Minneapolis and nearby suburbs.

Two strong “starting structures” in this metro are the Metropolitan Area Agency on Aging (Trellis) for seven‑county aging supports and county-level seniors/disability services that help route families to public programs and vetted community partners. Minneapolis also has a dense nonprofit network (meal delivery, caregiver education, and disability supports) that can reduce the administrative load when an adult child is coordinating from out of state.

Where to start (especially if you’re remote)

  • Start one shared “open loops” list: pending follow-ups, referrals, test results, paperwork, renewals, and who owns each item.
  • Get proxy access to online portals (and confirm who can receive results). Set up shared reminders for appointments and refills.
  • Ask for discharge paperwork after any hospitalization: discharge summary, updated medication list, follow-up plan, and therapy/wound instructions.
  • If you need a unit or clinic number, call the hospital operator and ask to be connected—avoid hunting for nurse-station lines online.
  • Create a single contacts sheet (PCP, specialists, pharmacy, home care/home health, emergency contacts) and keep it updated.
  • Confirm each office’s preferred workflow (portal message vs phone vs fax) and what they need to release records to the family.
  • Keep a “documents” folder: insurance cards, advance directive/POA, allergies, current med list, and recent labs/imaging reports.
Averyn can help
with the follow-through

Let an Averyn Care Navigator take on the “stuck in the middle” tasks:

  • Scheduling and rescheduling across multiple providers
  • Referral follow-up, pre-auth paperwork, and portal threads
  • Clear written updates that keep family aligned

Non-clinical administrative coordination (not medical advice, triage, or emergency monitoring).

Major health systems near Minneapolis

Phone trees and campus details change—use the official directories linked below.

Major health system
North Memorial Health (Robbinsdale & Maple Grove hospitals)

Use the hospital info lines for routing; if you need a unit/clinic number, ask the operator or main hospital line to transfer you.

Official info

Major health system
HealthPartners & Park Nicollet (systemwide contacts)

HealthPartners includes hospitals and clinics across the Twin Cities; use the main lines to route to scheduling, medical records, or patient relations.

Official info

Caregiver support groups (in and around Minneapolis)

Meeting times can change—confirm on the organization’s site before you go.

Caregiver support group
Alzheimer’s Association MN-ND — Caregiver Support Group (Minneapolis / Westminster Presbyterian Church)

Schedule: 1st Wednesday of each month, 5:00–6:00 p.m. (Central Time)

Location: Westminster Presbyterian Church, 1200 Marquette Ave S, Minneapolis, MN 55403

Address: Westminster Presbyterian Church, 1200 Marquette Ave S, Minneapolis, MN 55403

Phone: 800-272-3900

In-person caregiver support group. Confirm any holiday changes or registration steps on the chapter page or by calling the helpline.

Details

Caregiver support group
Alzheimer’s Association MN-ND — Caregiver Support Group (Minneapolis / First Unitarian Society)

Schedule: 3rd Tuesday of each month, 10:30–11:30 a.m. (Central Time)

Location: First Unitarian Society of Minneapolis, 900 Mount Curve Ave, Minneapolis, MN 55403

Address: First Unitarian Society of Minneapolis, 900 Mount Curve Ave, Minneapolis, MN 55403

Phone: 800-272-3900

In-person caregiver support group. Confirm any holiday changes or registration steps on the chapter page or by calling the helpline.

Details

Meals & nutrition support

In-home help (private pay)

Home health, therapy & human services

A few common starting points. Confirm service area and insurance details directly.

Skilled home health
Home health agencies
  • HealthPartners Home Care612-339-3663website
    Service area: Twin Cities metro (confirm coverage and referral requirements)
    The HealthPartners page lists CareLine numbers; ask to be routed to home care intake for your family member’s county and needs.
  • North Memorial Health Hospice (Home care & hospice team)763-581-9398website
    Service area: Twin Cities metro (confirm service area with intake)
    Hospice program page includes a request-a-call number; ask intake about related home care/home health options if needed.
Rehab & therapy
PT / OT options
  • HealthPartners Home Care (PT/OT through home care)612-339-3663website
    Service area: Twin Cities metro (home care service area varies)
    Ask for a home care intake triage and whether the referral should come from the PCP or discharging facility.
Human services
Community support

Hospice & palliative support

Hospice & palliative support
HealthPartners Hospice (Twin Cities metro)

Phone: 952-883-6875

Hospice and grief support; contact the hospice team to confirm eligibility and service area.

Website

Hospice & palliative support
North Memorial Health Hospice

Phone: 763-581-9398

Hospice program; use the request-a-call number to reach intake and confirm service area.

Website

Hospice & palliative support
St. Croix Hospice (Minnesota)

Phone: 855-278-2764

Hospice provider serving Minnesota; contact intake to confirm a local office and coverage for your family member’s address.

Website

Minnesota statewide programs & hotlines

Looking for more? Visit the full state resource page: Minnesota.

Official directories

  • Medicare Plan Finder (2026)
    Use this tool to compare Medicare Advantage and Part D plans for 2026. Always confirm benefits and network details with the plan before enrolling.

See the full state page: Minnesota

National programs & directories

Helpful starting points for benefits and caregiver support that apply nationwide.

National resource
Medicare (official program)

Use 1-800-MEDICARE for coverage questions, plan finder, claims, and appeals.

Phone: 800-633-4227

Official info

National resource
Eldercare Locator (ACL)

Find local Area Agencies on Aging, caregiver resources, and services by ZIP code.

Phone: 800-677-1116

Official info

National resource
211 (United Way / local social services)

Local referrals for food, housing, transportation, caregiving help, and more.

Phone: 211

Official info

National resource
988 Suicide & Crisis Lifeline

24/7 crisis support. Dial 988.

Phone: 988

Official info

National resource
Social Security Administration

Benefits, replacement cards, and general SSA services.

Phone: 800-772-1213

Official info

National resource
U.S. Department of Veterans Affairs (VA)

Main VA information line.

Phone: 800-698-2411

Official info

National resource
Alzheimer’s Association 24/7 Helpline

Support and information for dementia caregivers.

Phone: 800-272-3900

Official info

National resource
SNAP (Supplemental Nutrition Assistance Program) — State directory

SNAP is administered by states. Use the directory to find your state agency contact info.

Official info

National resource
Medicaid & CHIP — Contact your state agency

Official directory for state Medicaid agencies.

Official info

National resource
CMS (Centers for Medicare & Medicaid Services)

Federal agency overseeing Medicare, Medicaid, and related programs.

Official info

National resource
USDA National Hunger Hotline

Help finding food resources; also offers Spanish line 877-842-6273.

Phone: 866-348-6479

Official info

See the full national page: National resources

Medicare Advantage plan contacts (benefits & claims)

For plan-specific questions, the number on the member ID card is usually best. These are general member-services lines and contact pages.

Official tool
Compare plans by ZIP code

If you’re not sure which Medicare Advantage or Part D plans are available locally, Medicare’s official Plan Finder is the most reliable starting point: Medicare Plan Finder.

National starting points

  • Medicare (official program)800-633-4227contact
    Use the Plan Finder and your Medicare account for plan-level details.
  • UnitedHealthcare Medicare plans877-596-3258contact
    General Medicare member line; members can also use the number on the ID card.
  • Humana Medicare Advantage800-457-4708contact
    Customer Care; hours vary.
  • Aetna Medicare844-979-3435contact
    Member Services number published by Aetna; use the ID card number when possible.
  • Cigna Medicare800-997-1654contact
    Coverage/claims/Medicare information line; members can also use the number on their ID card.
  • Blue Cross Blue Shield (state-specific plans)contact
    BCBS customer service is state-based. For benefits/claims, call the number on the back of the member ID card or use the directory to find your local BCBS website.
  • Anthem Blue Cross Blue Shield (select states)contact
    Anthem contact info is state-specific. Members should use the number on the member ID card whenever possible.
  • SHIP (State Health Insurance Assistance Program)contact
    Free, unbiased Medicare counseling. Use the directory to find your state’s SHIP phone number.

How Averyn fits in

What we do

  • Scheduling, rescheduling, and logistics confirmation
  • Referral follow-up and “what’s the status?” persistence
  • Portal monitoring for administrative threads and document retrieval
  • Benefits questions support (where to look, what to ask, what to document)
  • Written updates that keep siblings aligned

What we don’t do

  • Medical advice, diagnosis, or triage
  • Emergency response or 24/7 monitoring
  • Clinical interpretation of labs or symptoms

This page is a non-exhaustive starting point for families coordinating care. Listings are informational and not endorsements. Contact details and availability can change—verify directly with each organization. Averyn Care provides non-clinical administrative coordination and is not an emergency service.

Last reviewed: 2026-01-11

Talk to an Averyn Care Navigator

If you’re coordinating care from across town or across the country, we can help you move the admin work forward—scheduling, referrals, portal threads, paperwork, and family updates.