Care-Based Incentive Resources

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.

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

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.

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
• Breast Cancer Screening
• Cervical Cancer Screening
• Child and Adolescent Well-Care Visits (3-21)
• Depression Screening for Adolescents and Adults
• Developmental Screening First 3 Years
• Diabetic HbA1c Poor Control >9.0%
• Initial Health Appointment (IHA)
• Immunizations: Adolescents
• Immunizations: Children (Combo 10)
• Lead Screening in Children
• No-Show
• Plan All-Cause Readmission
• Preventable Emergency Visits Diagnosis
• Preventable Emergency Visits
• Social Determinates of Health, Diagnosis Accuracy, and CPT II Coding
• 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
• Well-Child Visits for Age 15-30 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