Continuity of Care
Blue Shield of California Promise Health Plan (“Blue Shield Promise”) Continuity of Care program helps eligible Medi-Cal plan members stay under the care of a current provider who have changed plans from fee-for-service (FFS) Medi-Cal plan into a Medi-Cal managed care plan (MCP).
The Continuity of Care program allows members to complete their care with their current healthcare provider in specific cases.
| Continuity of Care forms | |
|---|---|
| San Diego | English (99 KB) Spanish (558 KB) Chinese (261 KB) Farsi/Persian (258 KB) Arabic (214 KB) Tagalog (661 KB) Vietnamese (223 KB) |
| Los Angeles | English (99 KB) Spanish (558 KB) Arabic (214 KB) Armenian (210 KB) Chinese (261 KB) Farsi-Persian (258 KB) Khmer/Cambodian (200 KB) Korean (203 KB) Russian (226 KB) Tagalog (661 KB) Vietnamese (223 KB) |
Please call customer service if you require assistance filling out the Continuity of Care form:
Los Angeles County: (800) 605-2556 (TTY: 711), 8 a.m. - 6 p.m., Monday – Friday.
San Diego County: (855) 699-5557 (TTY: 711), 8 a.m. - 6 p.m., Monday – Friday.
Please return this completed form to:
Blue Shield of California Promise Health Plan
P.O. Box 629005
El Dorado Hills, CA 95762
Medi-Cal benefits
Find the health benefits you get as a Blue Shield of California Promise Health Plan Medi-Cal member.