Wellness visits for members under age 21
Please reach out to your Blue Shield Promise members to schedule periodic wellness visits for children, teenagers. and young adults under the age of 21. Regular screenings will help us to detect and treat problems early and improve health outcomes.
Quickly access provider tools and information.
Latest news and announcements
Drug formularies
Electronic claims and encounters management
Health education resources
Provider Connection website access
Download member ID cards
Learn about our policies, guidelines and standards, and find forms.
Medical policy list
Medical benefit drug policy for Medi-Cal plans
Utilization management and clinical practice guidelines
Forms for authorization, referrals and more
Provider manuals
Prior authorization list
Learn about the programs supporting our network providers and members.
Provider support and incentive programs
Behavioral health services
Complex Case Management
Quality Improvement Program
Population Health Management
Enhanced Care Management
Community Supports
Community Health Worker Program
Welcome to the Blue Shield of California Promise Health Plan network
Blue Shield of California Promise Health Plan offers Medi-Cal members access to an extensive network of clinics, hospitals, physicians, specialists, and other healthcare professionals. As a mixed-model health maintenance organization (HMO), Blue Shield Promise contracts directly with individual physicians and other healthcare provider types under flexible reimbursement arrangements and with independent physician associations (IPAs) and medical groups on a capitated basis. With IPAs and medical groups, operational functions are delegated with Blue Shield Promise providing oversight.
Blue Shield Promise understands the importance of developing and maintaining solid relationships with providers as well as addressing the barriers that they may face when caring for underserved populations. It is our desire to be responsive and to work closely with our providers to better understand these challenges. Our objective is to help providers improve the delivery of healthcare services.
We welcome physicians and other healthcare professionals interested in joining our network.
Join our network
Learn how to update your practice information
Become a California Children Services paneled provider
We are here to help!
If you have any questions about our plan benefits, procedures and other topics,
call Provider Services at (800) 468-9935 (TTY 711), 6 a.m. to 6:30 p.m., Monday through Friday.
To notify us of hospital admissions, call Provider Services at 800-468-9935 (TTY 711). Available 24/7.