Excessive use of health services requires more efforts to prevent increased funding. One of BPJS Kesehatan efforts to control costs and improve the quality of chronic disease services is the Referral Program (PRB) however this has not been carried out optimally. The role of health facilities is very important in the implementation of the Referral Program. This research aims to determine the relationship between Registered Health Facilities and the Active Participants of the Referral Program in BPJS Kesehatan Pasuruan Branch. This study design is analytic with cross sectional study using a sampling total sample was 4.418 Refferal Participants until December 2019. The study was conducted in February-July 2020. The results of the study showed that most of the Referral Program Participants were in the Registered Health Facilities as many as 2.655 people (60%) and the activities of the Referral Program Participants were only 31% or 1.372 Participants. Based on the statistical calculation of the chi-square test with a significant value of = 0.05, the results obtained r = 0.169. Which means that it is greater than the significant level value, then H1 is rejected, so there is no Relationship between Registered Health Facilities and the Activities of Participants in the Referral Program at BPJS Kesehatan Pasuruan Branch. So there are many other factors that influence the referral program, such as infrastructure, education and information, communication between related parties, knowledge and attitudes of a person towards the existing program. The still very low activity in the Referral Program requires more effort and joint commitment from various parties to run the Program optimally