Care-Based Incentive Resources

The Alliance supports providers in delivering quality care to members. The following care-based incentive resources include summaries, tip sheets, training workshops/webinars and information on member health and wellness rewards.

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Incentive Summary

Our incentive summary page includes an overview of the CBI program, including:

Changes to the CBI program.
Key information on programmatic and fee-for-service measures.
A timeline detailing payment and eligibility periods.
Our member Health and Wellness Rewards Program.

Programmatic Measure Benchmarks & Performance Improvement

The CBI programmatic measures are divided into a total of 100 points. See the Programmatic Measure Benchmarks & Performance Improvement guide for the current plan goal and plan benchmark rates.

CBI Tip Sheets

Learn about measure eligibility, coding requirements, data submission and best practices for CBI measures in the tip sheets below.

Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents
Ambulatory Sensitive Care Admissions (ACSA)
Application of Dental Fluoride Varnish
BMI Assessment: Children and Adolescent
Breast Cancer Screening
Cervical Cancer Screening
Child and Adolescent Well-Care Visits (3-21)
Developmental Screening First 3 Years
Diabetic HbA1c Poor Control >9.0%
Initial Health Assessment (IHA)
Immunizations: Adolescents
Immunizations: Children (Combo 10)
Maximizing Your Payments using CPT Category II Coding
No-Show
Plan All-Cause Readmission
Preventable Emergency Visits Diagnosis
Preventable Emergency Visits
Screening for Depression and Follow-Up Plan
Well-Child Visits In The First 15 Months of Life

Exploratory Measures

Exploratory Measures do not qualify for payment, but are being considered for payment in the CBI program.

Chlamydia Screening in Women
Colorectal Cancer Screening
Controlling High Blood Pressure
Immunizations: Adults
Lead Screening in Children

CBI Technical Specifications

For complete program year requirements, see the CBI Technical Specifications.

CBI Training Resources

Access CBI webinar recordings and other trainings on our incentives training page.

General Resources

Access a variety of resources to assist your clinic in putting Care-Based Incentive measures into practice.

American Academy of Pediatrics Guidelines for Bright Futures
Blood Lead Testing Flyer
California Management Guidelines: Childhood Lead Poisoning
Depression Tool Kit
Health Education Programs
CAIR Immunization Registry
RIDE (Healthy Futures) Immunization Registry
Immunization Resources
Member Satisfaction Toolkit
Standard of Care Guidelines: Childhood Lead Poisoning
SHA Form Periodicity Schedule
U.S. Preventive Services Task Force (USPSTF) Recommendations for Primary Care Practice