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:
- Medi-Cal provider incentive program
- Complex Case Management
- Transitional Care Management
- Maternity Program
- Behavioral health services
- Population Health Management Program
- Quality Improvement Program
- Health education for Providers
- California Children's Services
We offer wellness programs for members to help them live their healthiest lifestyle.
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.
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.
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.
Blue Shield Promise supports members and their partners before, during and after pregnancy to help improve outcomes for parents and infants.
Behavioral Health Services
Blue Shield Promise behavioral health services cover mental health, substance use disorder, and autism spectrum disorder behavioral health treatment.
Population Health Management
Our Disease Management Program provides education, care coordination, and support for members with certain chronic conditions.
Maternal Mental Health Program
Learn about mental health resources for network practitioners who are providing prenatal or postpartum care.
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.
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.
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.