Care-Based Incentive Resources

A summary of Care-Based Incentive (CBI) measures that are new, have changed and have been retired.

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.

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

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 Care Sensitive Admissions
• Application of Dental Fluoride Varnish
• Best Practices to Reduce Patient No-Shows
• Breast Cancer Screening
• Cervical Cancer Screening
• Child and Adolescent Well-Care Visits (3-21)
• Chlamydia Screening
• Colorectal Cancer Screening
• Controlling High Blood Pressure
• Depression Screening for Adolescents and Adults
• Developmental Screening First Three Years
• Diabetic Poor Control >9%
• Diagnosis Accuracy & CPT II Coding
• Immunizations: Adolescents
• Immunizations: Children (Combo 10)
• Initial Health Appointment (IHA)
• Lead Screening in Children
• Plan All-Cause Readmission
• Post-Discharge Care
• Preventable Emergency Visits Diagnoses
• Preventable Emergency Visits
• Social Determinants of Health ICD-10 Z Code Submission Tip Sheet
• Well-Child Visits In The First 15 Months of Life
• Well-Child Visits for Age 15 Months-30 Months of Life

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

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

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
• Depression Tool Kit
• Health Education Programs
• CAIR Immunization Registry
• RIDE (Healthy Futures) Immunization Registry
• Immunization Resources
• Member Satisfaction Toolkit
• U.S. Preventive Services Task Force (USPSTF) Recommendations for Primary Care Practice