General Information

Please click on links below for more information on each topic.

Prior Authorizations (Organization and Coverage Determinations) / Exceptions

Please click on the links for contact information and forms needed for organization determinations, coverage determinations, and exceptions.

Appeals & Grievances Process and Forms

Please click on the links for information if you have a problem or a complaint.

Pharmacy and Medication-related Resources

Please click on links below for more information on each topic.

Our Cal MediConnect Program
The Cal MediConnect program is a new way to help bring healthcare to those who need it most. It is currently being developed by the California Department of Health Care Services and the Centers for Medicare...
Patient Benefits
Benefits You Can See. Under Blue Shield Promise Cal MediConnect Plan, a single health plan oversees all of your medical, long-term care, mental health and substance abuse care and social services needs.
Provider Inquiries
The success of the Cal MediConnect program depends on the participation of forward-thinking, patient-focused providers like you.
How can your patients Join?
Eligible beneficiaries will receive three notification mailings from the State based on their month of birth.
Frequent Asked Questions
You've got questions, we have answers!