Change notification
January 2023 Provider Manual change notification letter (PDF, 164 KB)
Complete manual
January 2023 Hospital and Facility Guidelines (PDF, 4.3 MB)
These guidelines describe policies and administrative procedures for Blue Shield network hospitals and facilities, including ambulatory surgery centers, behavioral health outpatient facilities, birthing centers, dialysis centers, residential treatment centers, and skilled nursing facilities. You'll need Adobe Reader to view the manual.
January 2023 Provider Manual change notification letter (PDF, 164 KB)
January 2023 Hospital and Facility Guidelines (PDF, 4.3 MB)
Download Section 1 (PDF, 281 KB)
Download Section 2 (PDF, 547 KB)
Download Section 3 (PDF, 266 KB)
Download Section 4 (PDF, 594 KB)
Download Section 5 (PDF, 513 KB)
Download Section 6 (PDF, 245 KB)
Appendix for Section 1 (PDF, 271 KB)
This manual does not contain an Appendix for Section 2
This manual does not contain an Appendix for Section 3
Appendix for Section 4 (PDF, 785 KB)
Appendix for Section 5 (PDF, 1.4 MB)
Appendix for Section 6 (PDF, 552 KB)
Download and print commonly requested patient care, prior authorization and network forms.
Find operating guidelines for clinical practices, preventive health and procedures for continuing network participation.
Find medication policies information and standards for HIPAA transactions, medical records and more.
Search our drug formulary database, find prior authorization forms and procedures for different types of prescriptions, learn about our mail service pharmacy for medication delivery and find out about generic alternatives.