Medi-Cal member retention help
Blue Shield of California Promise Health Plan has a team of enrollment and retention specialists who can help members renew their Medi-Cal coverage or transition into an affordable plan. We also have tips and resources ready to help you advise members who are at risk of losing their health coverage following redetermination.
Call our Medi-Cal Retention Department at (855) 636-5251 (TTY:711).
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 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 Blue Shield of California Promise Health Plan network
Welcome to Blue Shield of California Promise Health Plan network
The Blue Shield of California Promise Health Plan network comprises over 7,000 physicians, 80 hospitals and many ancillary medical professionals. Our Provider Services department develops and manages the Blue Shield of California Promise Health Plan provider network throughout our service areas. With our information systems, Internet accessibility and experienced management support, we strive to achieve optimal provider satisfaction.
As a mixed-model HMO, Blue Shield Promise contracts directly with individual physicians and other provider types under flexible reimbursement methodologies and IPA/medical groups on a capitated basis. Under the IPA/medical group arrangements, 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 the barriers that the under-served population face in accessing healthcare services. It is our desire to be responsive and to work closely with our providers to better understand the challenges facing them. Our objective is to help providers improve the delivery of healthcare services.
We always welcome physicians and other healthcare professionals joining our network.
Join our network
Learn how to update your practice information
Become a California Children Services paneled provider
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.