Our programs

Our provider programs provide opportunities for us to collaborate with and support our healthcare providers in offering our members access to high-quality care.

Here are program resources you will find in this section:

Member programs

We offer wellness programs for members to help them live their healthiest lifestyle.
Learn about our customer care programs

Medi-Cal Provider Incentive Program

Our Med-Cal Provider Incentive Program provides incentives for network physician practices and independent physician associations (IPAs) to support and encourage high standards in health care for our valued Medi-Cal plan members.

Learn about this incentive program

Complex Case Management

Our Complex Case Management program allows us to work directly with members and collaborate closely with their physicians to coordinate care and services to high-risk members.

Learn about the Complex Case Management Program

Transitional Care Management for Special Needs Plan members

Blue Shield Promise has developed the Transitional Care Management Program to deliver high-quality care to our members during care transitions. This program meets all regulatory requirements.

Learn more about transitional care management

Maternity Program

Blue Shield Promise supports members and their partners before, during and after pregnancy to help improve outcomes for parents and infants.

Learn about the Maternity Program

Behavioral Health Services

Blue Shield Promise behavioral health services cover mental health, substance use disorder, and autism spectrum disorder behavioral health treatment.

Get behavioral health services information

Population Health Management

Our Disease Management Program provides education, care coordination, and support for members with certain chronic conditions.

Learn more about the program

Maternal Mental Health Program

Learn about mental health resources for network practitioners who are providing prenatal or postpartum care.

See maternal mental health resources

Quality Improvement Program

Blue Shield Promise created a Quality Improvement Program (QIP) for all lines of business. This program allows us to identify opportunities for improvement of care and services to our members and providers.

Learn more about QIP

Health education for providers and members

Blue Shield Promise assists you in meeting health education state requirements by providing appropriate health education materials for you to distribute to your patients. These multilingual materials are available in the state-mandated topics.

Find health education materials

Cultural Awareness and Linguistics Program

Blue Shield Promise ensures that all our members have access to translation services that help them access programs and care in their language of choice.

Learn more about cultural awareness and linguistics program

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Blue Shield of California Promise Health Plan has neither reviewed nor endorsed this information.

Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Blue Shield of California Promise Health Plan is a Medicare Advantage HMO plan with a Federal Government contract in California. Enrollment in Blue Shield of California Promise Health Plan depends on contract renewal.

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