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 (PDF, 99 KB) Spanish (PDF, 558 KB) Chinese (PDF, 261 KB) Farsi/Persian (PDF, 258 KB) Arabic (PDF, 214 KB) Russian (PDF, 226 KB) Tagalog (PDF, 661 KB) Vietnamese (PDF, 223 KB) |
| Los Angeles | English (PDF, 99 KB) Spanish (PDF, 558 KB) Arabic (PDF, 214 KB) Armenian (PDF, 210 KB) Chinese (PDF, 261 KB) Farsi-Persian (PDF, 258 KB) Khmer/Cambodian (PDF, 200 KB) Korean (PDF, 203 KB) Russian (PDF, 226 KB) Tagalog PDF, (661 KB) Vietnamese (PDF, 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 Attn: Continuity of Care Team
P.O. Box 272580
Chico, CA 95927-2580
Last updated: April 15, 2026
Medi-Cal benefits
Find the health benefits you get as a Blue Shield of California Promise Health Plan Medi-Cal member.