Provider and patient care programs

Our programs provide opportunities for us to collaborate with and support our healthcare providers in offering Blue Shield of California and Blue Shield of California Promise Health Plan members access to high-quality care.

Dual Special Needs Plan Model of Care

A Dual Special Needs Plan Model of Care (D-SNP MOC) describes how we provide healthcare services to our low-income senior (65+) members and members who have special needs. Our purpose is to provide them with access to care that is reliable, convenient, and accessible. Annually, we check the quality of the care and service we make available to these members. We set goals and follow steps and actions to correct our process if we do not meet those goals.

Learn about the Dual Special Needs Plan Model of Care program

 

Blue Shield Promise Medi-Cal Provider Incentive program

Our Med-Cal Provider Incentive Program provides incentives for Blue Shield Promise network physician practices and independent physician associations (IPAs) to support and encourage high standards in health care for our valued Medi-Cal plan members.

Learn about this incentive program
 

Cultural Awareness and Linguistics program for Blue Shield Promise providers and members

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.

Learn more about the program and find resources
 

Health education for Blue Shield Promise providers and members

Blue Shield Promise assists its providers in meeting health education state requirements by providing them with appropriate materials to distribute to their patients. These multilingual materials are available in the state-mandated topics.

Find health education materials
 

Health Management programs

Find out about our Health Management programs available to eligible members with the certain chronic conditions.

Learn about our programs
 

Maven Maternity Program

Maven Maternity offers an innovative maternity program available to eligible Blue Shield of California HMO and PPO commercial plan members. Maven provides a wide range of virtual support services to expectant mothers throughout their pregnancy journey.

Learn more about this program

We encourage you to share this flyer with eligible patients (PDF, 377 KB)
 

Quality and patient safety

We care about the quality of service and care that our members receive and we participate in the following programs and initiatives.

Learn about our quality improvement initiatives
 

Vaccines for Children Program (VFC)

The Vaccines for Children (VFC) program provides free vaccines to children less than 19 years old who qualify for Medi-Cal, are uninsured, or are American Indian or Alaska Native. VFC provides vaccines at no cost to enrolled providers to administer to eligible children between the ages of 0-18 years. Blue Shield Promise strongly encourages all providers who provide immunizations to children 0-18 years to participate in this program.

Learn more about the Vaccines for Children program
 

Wellvolution health and lifestyle programs

Learn about our personalized care programs helping our members to improve health, lose weight, reduce disease risk, treat and reverse type 2 diabetes and feel better.

Learn about our lifestyle medicine programs

Patient care resources

Find information that can help you assist your patients.

Find patient care resources

Patient care forms

Submit these forms when delivering patient care, including forms related to coordinating benefits, member grievances, and more.

Find patient care forms for Blue Shield of California members

Find forms for Blue Shield Promise members

Live healthy programs and discounts for Blue Shield members

Blue Shield of California members have more than just basic health care. They have access to extensive health information, well-being tools, and more.

View programs and discounts

Health education resources for our members

Find health education materials available to Blue Shield of California and Blue Shield Promise members.

Access Blue Shield of California health library

View health education materials available to Blue Shield Promise members

© California Physicians' Service DBA Blue Shield of California 1999-2024. All rights reserved. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.

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