Learn about our policies, requirements, criteria for evaluating and applying new technologies, and procedures that comprise our medical care solutions:

  • Blue Shield Promise Medical policies
  • Clinical Policies and Procedures
  • Prior authorization list
  • Prior authorization and referral forms
  • Pharmacy services information and drug formularies
Clinical policies and procedures

Review medical care solutions for Blue Shield Promise plans.

Blue Shield Promise Medical Policies

Use these medical policies to provide Blue Shield Promise Medi-Cal plan members with the highest standard of evidence-based medical care that is safe and effective.

Prior authorization list

View the list of medical services and procedures requiring medical necessity review or supplemental documentation prior to payment.

Clinical practice guidelines and shared decision-making aids

Clinical practice guidelines define healthcare standards applicable to members and providers.

Pharmacy services and drug formularies

Access drug formularies and find pharmacy services information.

Policies, guidelines, standards and forms

Find provider manuals, provider dispute resolution policies, medical record, access to care standards, and more.

Treatment authorization, referral, and administrative forms

Find common forms you may need for authorizations, patient referrals, and more.

Blue Shield of California Promise Health Plan payment policies

Visit this page to find Blue Shield of California Promise Health Plan payment policies applicable to claims for our Medi-Cal plan members.

Provider Connection

Access network provider tools on Provider Connection website.