Blue Shield Promise Medi-Cal (Care1st Health Plan until 1/1/2019)Call us at 1-800-605-2556 (TTY: 711)
Your Provider Manual specifically addresses the contractual and regulatory requirements of Care1st. This manual is intended as a guideline for the provision of covered services to Care1st Health Plan Members. This manual contains policies, procedures and general reference information including minimum standards of care, which are required of Care1st Health Plan Providers. Following requirements defined in the manual ensures that our members receive comprehensive care.
From time to time we will need to update our website as our policies change, or as LA Care, CMS, and/or DHS requirements change. We will keep you informed of those changes as they occur. As a Care1st Provider, we hope this information will help you better understand how Care1st operates.
Although this manual contains a comprehensive summary of Care1st policies and procedures, additional protocols regarding plan administrative practices, full plan medical policies, and other detailed information are available to the provider upon request by calling Care1st Provider Relations Department at 1-323-889-6638.
Instructions related to Transactions based on ASC X12 Implementation Guides, version 004050.
Health Care Provider Directory (EDI 274)
Standard Companion Guide Transaction Information
Health Care Provider Directory Flat File Version for EDI 274
Flat File Version for EDI 274 Provider Information