Memorandums of understanding and agreement (MOUs and MOAs)

The Department of Health Care Services (DHCS) requires Medi-Cal Managed Care Plans (MCPs), local government agencies, and health departments to enter into a memorandum of understanding (MOU) or memorandum of agreement (MOA). The MOU or MOA is a binding, enforceable contract. It outlines the duties of each party. It also outlines how the parties work together. The parties must work together to direct and manage access to medically necessary care for Medi-Cal members. See below for the current MOUs and MOAs.

MOUs or MOAs are updated as needed or required by Medi-Cal. Contact the Blue Shield Promise Health Plan Medi-Cal Account Management team at BSCPHPMediCal@blueshieldca.com to learn more.

Memorandum of Agreements

Public Health Services

  • California Children’s Services (CCS)
  • Child Health and Disability Prevention (CHDP)
  • Community Epidemiology
  • Immunization Program
  • Hanson’s Disease (HD) Program
  • Sexually Transmitted Disease (STD) Control
  • Office of AIDS Coordination (OAC) Program
  • Maternal, Child, Adolescent Health (MCAH)
  • Tuberculosis (TB) Control Program
  • Refugee Health Assessment Program (RHAP)
  • Targeted Case Management (TCM)

Behavioral Health

  • Mental Health Plan (MPH)
  • Patient Protection and Affordable Care Addendum
  • Cal MediConnect Addendum – This section only applies to Cal MediConnect plans
  • Drug Medi-Cal Organized Delivery System (DMC-ODS) Addendum

Child Welfare Services

  • Children's Emergency Shelter Care Center (Polinsky Children's Center) 
    Confidentiality 
  • Provision of Health Assessment and Health Care Services 
  • Provision of Hospital Care Services 
  • Provision of Ancillary Care Services 
  • Dispute Resolution 
  • Exchange of Information 
  • Claim Submission

Aging and Independence Services

  • Aging and Independence Services (AIS)

CalAIM Implementation: Enhanced Care Management

  • Enhanced Care Management and Community Supports (ECM/CS) 
    Meaningful Coordination, Collaboration, and Transparency 
  • Person-Centered Care Coordination 
  • Data Sharing/Information Technology (IT) Infrastructure 

Healthy San Diego

  • Health Plan Facility Site Review (FSR) Program 
  • Health Education and Cultural/Linguistics (HE & C/L) Workgroup 

Other

  • Index

Health Care Options: (844) 580-7272  {TTY: {800) 430-7077}, Monday through Friday from 8 a.m. — 6 p.m. 

For information on Blue Shield Promise plans for your health care, call the Department of Health Care Services at (800) 430-4263 {TTY: (800) 735-2922}, or visit https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal Plans.

© 2002-2024. California Physicians’ Service DBA Blue Shield of California Promise Health Plan. All rights reserved.

California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association.

The provider network may change at any time. You will receive notice when necessary.

Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.

Blue Shield of California Promise Health Plan遵循適用的州法律和聯邦公民權利法律，並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。

 

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