22-1079 See what’s new with IHA and HIF

Date: 12/19/22

The information below incorrectly implied that we are incentivizing independent practice associations (IPAs) for completed Initial Health Assessments (IHAs) for new Medi-Cal members within 120 days for 2023. For clarification, please refer to provider update 23-041.

Learn how to better manage your patient’s health care needs

Here is what you need to know:

• The Individual Health Education Behavior Assessment (IHEBA) and the Staying Healthy Assessment (SHA) forms are no longer required.
• Initial Health Assessment is now called Initial Health Appointment (IHA).

Get paid when you complete the IHA

For 2023, we are incentivizing IHA as a new measure.

Earn an incentive when you complete an IHA for new Medi-Cal members within 120 days.

• An IHA must be completed for all newly enrolled Medi-Cal members within 120 days of enrollment.
• We will continue auditing the IHAs completed within 120 days of member enrollment, in your upcoming facility site review and medical record.

Stay tuned for more information, including rates, in early 2023.

Help your patients complete their HIF and act on positive screens

California Health & Wellness (CHWP) will implement additional outreach to increase Health Information Form (HIF) submissions, but we need your help!

While your patient is in your office to complete their IHA, help them complete and submit their HIF.

What does HIF do for my patient

The HIF will help identify any positive screens, extra needs or services your patient may require such as transportation, access to food, their self-perception of health, and impairments related to activities of daily and independent living.

We will incorporate the responses from these forms into our risk stratification algorithm for provision of timely services and supports.

Where can we get the HIF

HIF forms can be downloaded under New Member Materials.

Once completed, keep a copy in the member’s chart and send the form to:

Medi-Cal Care Management
4191 E. Commerce Way
Sacramento, CA 95834

Keep a look out for future updates from us!

• We are working on a process for bidirectional data sharing of screenings and assessments results.
• We are working on a process to share our risk stratification, segmentation, and tiering with providers.

Additional information

If you have questions about:	Visit or contact:
How to complete the IHA	Providers website.
How to help your patient complete the HIF	Member services using the number on the back of the member ID card for additional support.

For all other questions, contact CHWP at 877‑658‑0305.

This Information applies to Physicians and Independent Practice Associations