Hospital and facility guidelines manual
These guidelines describe policies and administrative procedures for Blue Shield network hospitals and facilities, including ambulatory surgery centers, behavioral health outpatient facilities, birthing centers, dialysis centers, residential treatment centers, and skilled nursing facilities. You'll need Adobe Reader to view the manual.
Change notification
January 2025 Provider Manual change notification letter (PDF, 259 KB)
Complete manual
January 31, 2024 hospital and facility guidelines (PDF, 4.6 MB)
Forms
Download and print commonly requested patient care, prior authorization and network forms.
Guidelines and procedures
Find operating guidelines for clinical practices, preventive health and procedures for continuing network participation.
Policies and standards
Find medication policies information and standards for HIPAA transactions, medical records and more.
Drugs and pharmacy resources
Search our drug formulary database, find prior authorization forms and procedures for different types of prescriptions, learn about our mail service pharmacy for medication delivery and find out about generic alternatives.