Why you need the manuals

Our provider manuals specifically address Blue Shield of California Promise Health Plan's contractual and regulatory requirements and are an extension of our provider agreement with your practice or facility.

The provider manual contains the policies, procedures, reference information, and minimum care standards required of Blue Shield Promise providers.

Change notifications

        January 2022 Blue Shield Promise Cal MediConnect Provider Manual Change Notification letter (PDF, 82 KB)         

        July 2022 Blue Shield Promise Medi-Cal Provider Manual Regulatory Change Notification letter (PDF, 91 KB)

        January 2022 Blue Shield Promise Nursing Facility Reference Guide Change Notification letter (PDF, 88 KB)

Manuals by plan type

        January 2022 Blue Shield Promise Cal MediConnect Provider Manual (PDF, 2.4 MB)         

        January 2022 Blue Shield Promise Medi-Cal Provider Manual (PDF, 2.7 MB)

        January 2022 Blue Shield Promise Nursing Facility Reference Guide (PDF, 226 KB)

After reviewing the manuals, complete the Acknowledgment of Blue Shield Promise Provider Manual form (PDF, 313 KB) and return it to us by fax or email:
Fax: (323) 889-5418
Email: ProviderRelations@blueshieldca.com

Additional information

Although the provider manuals contain comprehensive summaries of Blue Shield Promise policies and procedures, additional protocols regarding plan administrative practices, full plan medical policies, and other detailed information are available to the provider upon request by calling the Blue Shield of California Promise Health Plan Provider Services Department:

  Phone:(800) 468-9935, 6:00 a.m. to 6:30 p.m., Monday through Friday.