HMO IPA/medical group procedures manual
This manual describes the policies and operating procedures for HMO IPAs and medical groups that contract with Blue Shield of California to provide healthcare services for members of our HMO plans (including our Access+ HMO®, Trio HMO and Blue Shield Medicare Advantage plans). You'll need Adobe Reader to view the manual.
Change notification
January 2025 Provider Manual change notification letter (PDF, 318KB)
Complete manual
April 2024 HMO IPA/medical group procedures manual (PDF, 3.3 MB)
Forms
Download and print commonly requested patient care, prior authorization and network forms.
Guidelines and procedures
Find operating guidelines for clinical practices, preventive health and procedures for continuing network participation.
Policies and standards
Find medication policies information and standards for HIPAA transactions, medical records and more.
Drugs and pharmacy resources
Search our drug formulary database, find prior authorization forms and procedures for different types of prescriptions, learn about our mail service pharmacy for medication delivery and find out about generic alternatives.