Providers | Blue Shield of California Promise Health Plan

Quality Improvement Incentive Program (Q.I.I.P)

120 Day Initial Health Assessments*

We reimburse you $50 for health assessments completed within 120 days of each new Blue Shield of California Promise Health Plan member's effective date with you. This is in addition to the current fee-for-service reimbursement you receive as a Blue Shield of California Promise Health Plan directly contracted PCP.

* Use ICD-9 Code V70.0 to indicate initial Health Assessment Physical Examination, on the HCFA 1500-Section 21.)

Immunizations

Get reimbursed $5.00 for each of the following adult immunizations given.
  • (90471) Immunization administration, single or combination vaccine/toxoid
  • (90472) Immunization administration; two or more single or combination vaccines/toxoids

Postpartum Care Incentive Program

The Postpartum Care Incentive Program is created to educate our new mothers on the importance of their postpartum care visit. The postpartum visit should be scheduled between 21 to 56 days after their delivery. To encourage our members/new mothers to come in for their check up, we give a $40.00 gift card once the mother has come in for their postpartum visit. As a new mom it is important to make sure that the mom/mother is well from labor. For taking care of our members, we give the providers a $50.00 incentive.

Medi-Cal Provider Incentive Program

Blue Shield of California Promise Health Plan’s Provider Incentive Program is designed for our network physician practices and independent physician associations (IPAs) who provide healthcare services for our valued Medi-Cal plan members.

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