Medical interface manual

Change notification

January 2025 Provider manual change notification letter (PDF, 143 KB)
 

Complete manual

Learn about Blue Shield's protocols for coordinating the treatment of mental health and substance abuse disorders between behavioral health providers and primary care physicians.

In this manual, you’ll find information on how Blue Shield's Mental Health Service Administrator manages intake and care for psychiatric and chemical dependency diagnoses.

The manual is intended to help you identify who is responsible for providing various clinical services and serve as a resource for providing integrated care. You'll need Adobe Reader to view the manual.

January 2024 Medical interface manual (PDF, 258 KB)

Forms

Download and print commonly requested patient care, prior authorization and network forms.

Find forms for Blue Shield of California providers

Find forms for Blue Shield Promise providers

Guidelines and procedures

Find operating guidelines for clinical practices, preventive health and procedures for continuing network participation.

Read guidelines

Policies and standards

Find medication policies information and standards for HIPAA transactions, medical records and more.

Read about our policies and standards

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.

Find pharmacy resources