Care-Based Incentive (CBI) Summary
The Central California Alliance for Health CBI program is comprised of a set of measures to encourage preventive health services and connect Medi-Cal members with their primary care providers (PCPs).
The CBI program consists of provider incentives that are paid to qualifying contracted provider sites, including family practice, pediatrics and internal medicine. Provider incentives are broken into:
- Programmatic measures which are paid annually based on the rate of performance in each measure.
- Fee-For-Service (FFS) measures which are paid quarterly when a specific service is performed, or a measure is achieved.
The Alliance also offers incentives to members through the Health Rewards Program, which are paid directly to members. Members are eligible for these incentives if they are enrolled with Medi-Cal through the Alliance. Additional information on member incentives can be found on the Health Rewards Program page.
This incentive summary provides an overview of the CBI program. For more information about provider incentive payments, refer to the CBI Programmatic Measure Benchmarks and the Alliance Provider Manual.
For additional information on the CBI Program, refer to the program year 2024 and 2025 CBI Technical Specifications. For general questions, contact your Provider Relations Representative or call Provider Relations at (800) 700-3874, ext. 5504.
¹ The IHA incentive has a 15-month measurement period to accommodate 120 days post enrollment date. See Questions?
Contact your Provider Relations Representative or call Provider Services at (800) 700-3874 ext. 5504
Member Resources
GRIEVANCE FORM
Member Handbook
Health Rewards Program
Continuity of Care Policy
The Alliance
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