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Management and Care Coordination Pain Management and Substance Use Resources Seniors and Disabilities Nurse Advice Line Referrals and Authorizations Telehealth Services Cultural and Linguistic Services Face-to-Face Interpreter Request Form Interpreter Services Provider Quick Reference Guide Interpreter Services Quality Assurance Form A to Z Glossary of Spanish & Hmong Terms Enhanced Care Management and Community Supports Enhanced Care Management (ECM) Community Supports (CS) ECM/CS Referrals ECM/CS Trainings ECM/CS FAQs Health Education and Disease Management Health Education Programs Disease Management Programs Health Resources Pharmacy Drug Recalls and Withdrawals Medi-Cal Rx Pharmacy Formulary Prescription Drug Prior Authorization Prior Authorization Criteria Prior Authorization Information Request for Injectable Drugs Synagis Statement of Medical Necessity Treatment Authorization Request (TAR) Medical Nutrition Therapy Benefit Quick Reference Guide Quality of Care Provider Incentives Care-Based Incentive Care-Based Incentive Resources Care-Based Incentive (CBI) Summary CBI Technical Specifications Antidepressant Medication Management Tip Sheet Immunizations: Adult – Exploratory Measure Tip Sheet Immunizations: Adolescents Tip Sheet Programmatic Measure Benchmarks & Performance Improvement Asthma Medication Ratio Tip Sheet 90-Day Referral Completion – Exploratory Tip Sheet Antidepressant Medication Management Tip Sheet Application of Fluoride Varnish Tip Sheet Immunizations: Children (Combo 10) Tip Sheet Chlamydia Screening in Women – Exploratory Measure Tip Sheet Child and Adolescent Well-Care Visits Tip Sheet Cervical Cancer Screening Tip Sheet Child and Adolescents BMI Assessment Tip Sheet Breast Cancer Screening Tip Sheet Well-Child Visits in the First 15 Months of Life Tip Sheet Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet Preventable Emergency Visits Tip Sheet Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet Maternity Care: Prenatal Tip Sheet Maternity Care: Postpartum Tip Sheet Plan All-Cause Readmissions Tip Sheet Lead Screening in Children Tip Sheet Initial Health Appointment Tip Sheet Diabetic HbA1c Poor Control >9% Tip Sheet Developmental Screening in the First 3 Years Tip Sheet Controlling High Blood Pressure – Exploratory Measure Tip Sheet Immunizations: Children (Combo 10) Tip Sheet Best Practices for Reducing Patient No-Shows Tip Sheet Ambulatory Care Sensitive Admissions Tip Sheet Depression Tool Kit USPSTF Recommendations for Primary Care Practice Preventable Emergency Care Visit Diagnosis Tip Sheet Blood Lead Testing Flyer Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet Depression Screening for Adolescents and Adults Tip Sheet Data Sharing Incentive Specialty Care Incentive Measures Health Assessments HEDIS HEDIS Resources HEDIS Code Set HEDIS FAQ Guide Immunization Resources Member Incentives Site Reviews Facility Site Review Infection Control: Spore Testing Job Aid DHCS Facility Site Review (FSR) Checklist FSR Critical Elements: Interim Monitoring Form Medical Record Review DHCS Medical Record Review (MRR) Checklist Physical Accessibility Review Survey Resources COVID-19 Claims View/Submit a Claim Forms Provider Directory Update Form News Provider Directory Provider Manual All Plan Letters Timely Access to Care Webinars and Training Provider Events Calendar Provider Portal Using the Provider Portal Frequently Asked Questions Provider Portal User Guide Provider Portal Quick Reference Provider Portal Account Request Form Procedure Code Lookup Tool (PCL) Don’t miss out on valuable training opportunities!Explore our Provider Training page for on-demand trainings and webinars on important topics such as Care-Based Incentive and Data Sharing Incentive.For Communities Healthy Communities Your Health Matters Community Events Community-Based Adult Services Community Health Worker Benefit Community Resources Doula Services Benefit Enhanced Care Management and Community Supports Funding Opportunities Medi-Cal Capacity Grants Access to Care Capital Program Data Sharing Support Program Equity Learning for Health Professionals Program Healthcare Technology Program Workforce Recruitment Programs CHW Recruitment Program Doula Recruitment Program MA Recruitment Program Provider Recruitment Program Healthy Beginnings Home Visiting Program Parent Education and Support Program Healthy Communities Community Health Champions Partners for Active Living Program How to Apply Grants at Work Alliance Housing Fund Other Funding Opportunities Community Publications Community Impact Reports The Beat E-Newsletter Don’t miss a beat!Subscribe to our community newsletter The Beat! Health Plans Medi-Cal Alliance Care IHSS Alliance Care IHSS Price Transparency Tool Digital member ID cards are now available!Call Member Services at 800-700-3874 (TTY: Dial 711) to get yours.About Us About the Alliance Fact Sheet Mission, Vision and Values Strategic Plan 2022-2026 Leadership Public Meetings Careers Contact Us News Community News Member News Provider News Meetings and Events Newsroom Check out our newest Fact Sheet!Explore our latest achievements and key statistics. For Members Get Started Member ID Card Find a Doctor Alliance Alternative Access Standards About Your Health Plan Frequently Asked Questions Get Care Primary Care Approvals for Care Nurse Advice Line Prescriptions Medications and Your Health Introducing Medi-Cal Rx Urgent Care Urgent Visit Access – Mariposa County Urgent Visit Access – Merced County Urgent Visit Access – Monterey County Urgent Visit Access – San Benito County Urgent Visit Access – Santa Cruz County What to do after the emergency room: Your action plan Care Management for Members Behavioral Health Transportation Services Enhanced Care Management and Community Supports Other Services Dental and Vision Family Planning Medical Equipment Out-of-Area Services Member Services Access Your Health Information COVID-19 Information General COVID-19 Information COVID-19 Testing and Treatment COVID-19 Vaccine Information Language Assistance File a Grievance California Children’s Services Join an Advisory Group Member Services Advisory Group (MSAG) Member Services Advisory Group Application Whole Child Model Family Advisory Committee (WCMFAC) Member News Online Self-Service Replace ID Card Choose Primary Doctor Insurance Information Update Contact Information Information Release Privacy Request Request Personal Representative Member Reimbursement Claim Form Member Online Account Confidential Communications Request Form Find a Form Health and Wellness Health Rewards Program Wellness Resources For Providers Join Our Network Why Join How to Join Provider Application Request Provider Credentialing Applications and Policies Re-Credentialing New Provider Orientation Manage Care Behavioral Health California Children’s Services Clinical Resources Care Management Complex Case Management and Care Coordination Pain Management and Substance Use Resources Seniors and Disabilities Nurse Advice Line Referrals and Authorizations Telehealth Services Cultural and Linguistic Services Face-to-Face Interpreter Request Form Interpreter Services Provider Quick Reference Guide Interpreter Services Quality Assurance Form A to Z Glossary of Spanish & Hmong Terms Enhanced Care Management and Community Supports Enhanced Care Management (ECM) Community Supports (CS) ECM/CS Referrals ECM/CS Trainings ECM/CS FAQs Health Education and Disease Management Health Education Programs Disease Management Programs Health Resources Pharmacy Drug Recalls and Withdrawals Medi-Cal Rx Pharmacy Formulary Prescription Drug Prior Authorization Prior Authorization Criteria Prior Authorization Information Request for Injectable Drugs Synagis Statement of Medical Necessity Treatment Authorization Request (TAR) Medical Nutrition Therapy Benefit Quick Reference Guide Quality of Care Provider Incentives Care-Based Incentive Care-Based Incentive Resources Care-Based Incentive (CBI) Summary CBI Technical Specifications Antidepressant Medication Management Tip Sheet Immunizations: Adult – Exploratory Measure Tip Sheet Immunizations: Adolescents Tip Sheet Programmatic Measure Benchmarks & Performance Improvement Asthma Medication Ratio Tip Sheet 90-Day Referral Completion – Exploratory Tip Sheet Antidepressant Medication Management Tip Sheet Application of Fluoride Varnish Tip Sheet Immunizations: Children (Combo 10) Tip Sheet Chlamydia Screening in Women – Exploratory Measure Tip Sheet Child and Adolescent Well-Care Visits Tip Sheet Cervical Cancer Screening Tip Sheet Child and Adolescents BMI Assessment Tip Sheet Breast Cancer Screening Tip Sheet Well-Child Visits in the First 15 Months of Life Tip Sheet Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet Preventable Emergency Visits Tip Sheet Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet Maternity Care: Prenatal Tip Sheet Maternity Care: Postpartum Tip Sheet Plan All-Cause Readmissions Tip Sheet Lead Screening in Children Tip Sheet Initial Health Appointment Tip Sheet Diabetic HbA1c Poor Control >9% Tip Sheet Developmental Screening in the First 3 Years Tip Sheet Controlling High Blood Pressure – Exploratory Measure Tip Sheet Immunizations: Children (Combo 10) Tip Sheet Best Practices for Reducing Patient No-Shows Tip Sheet Ambulatory Care Sensitive Admissions Tip Sheet Depression Tool Kit USPSTF Recommendations for Primary Care Practice Preventable Emergency Care Visit Diagnosis Tip Sheet Blood Lead Testing Flyer Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet Depression Screening for Adolescents and Adults Tip Sheet Data Sharing Incentive Specialty Care Incentive Measures Health Assessments HEDIS HEDIS Resources HEDIS Code Set HEDIS FAQ Guide Immunization Resources Member Incentives Site Reviews Facility Site Review Infection Control: Spore Testing Job Aid DHCS Facility Site Review (FSR) Checklist FSR Critical Elements: Interim Monitoring Form Medical Record Review DHCS Medical Record Review (MRR) Checklist Physical Accessibility Review Survey Resources COVID-19 Claims View/Submit a Claim Forms Provider Directory Update Form News Provider Directory Provider Manual All Plan Letters Timely Access to Care Webinars and Training Provider Events Calendar Provider Portal Using the Provider Portal Frequently Asked Questions Provider Portal User Guide Provider Portal Quick Reference Provider Portal Account Request Form Procedure Code Lookup Tool (PCL) Don’t miss out on valuable training opportunities!Explore our Provider Training page for on-demand trainings and webinars on important topics such as Care-Based Incentive and Data Sharing Incentive.For Communities Healthy Communities Your Health Matters Community Events Community-Based Adult Services Community Health Worker Benefit Community Resources Doula Services Benefit Enhanced Care Management and Community Supports Funding Opportunities Medi-Cal Capacity Grants Access to Care Capital Program Data Sharing Support Program Equity Learning for Health Professionals Program Healthcare Technology Program Workforce Recruitment Programs CHW Recruitment Program Doula Recruitment Program MA Recruitment Program Provider Recruitment Program Healthy Beginnings Home Visiting Program Parent Education and Support Program Healthy Communities Community Health Champions Partners for Active Living Program How to Apply Grants at Work Alliance Housing Fund Other Funding Opportunities Community Publications Community Impact Reports The Beat E-Newsletter Don’t miss a beat!Subscribe to our community newsletter The Beat! Health Plans Medi-Cal Alliance Care IHSS Alliance Care IHSS Price Transparency Tool Digital member ID cards are now available!Call Member Services at 800-700-3874 (TTY: Dial 711) to get yours.About Us About the Alliance Fact Sheet Mission, Vision and Values Strategic Plan 2022-2026 Leadership Public Meetings Careers Contact Us News Community News Member News Provider News Meetings and Events Newsroom Check out our newest Fact Sheet!Explore our latest achievements and key statistics. Home > For Providers > Manage Care > Quality of Care > Provider Incentives > Care-Based Incentive > Care-Based Incentive Resources > CBI Technical Specifications Manage Care Return to Care-Based Incentives Resources CBI Technical Specifications Click image below to open PDF file: Contact us | Toll free: 800-700-3874