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2026 CBI Workshop Frequently Asked Questions

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Application of Dental Fluoride Varnish

Why is California still using fluoride varnish as a measure when it’s not recommended by federal administrative offices?

The Alliance measures are based on California’s Managed Care Accountability Set (MCAS). MCAS measures are generally based on the National Committee for Quality Assurance (NCQA) standards and other national measure stewards such as the Dental Quality Alliance (DQA).

Fluoride varnish is also recommended by the American Academy of Pediatrics (AAP) in their Bright Futures program and the American Dental Association (ADA). The AAP and ADA review large groups of studies before making recommendations and are trusted sources in the medical community.

Behavioral Health

Does behavioral health care at the Alliance include specialists who see patients for postpartum depression?

Breast Cancer Screening

Do we need to submit a referral for a patient to get a mammogram?

Can I submit breast cancer screening data via the Data Submission Tool (DST)?

Cervical Cancer Screening

What documentation do providers submit for a cervical cancer screening if a different clinic conducted the screening was or if the member had a hysterectomy?

Chlamydia Screening

For the chlamydia screening measure, how do providers report a member who is not sexually active and remove the member from the measure?

The National Committee for Quality Assurance (NCQA) identifies members in the chlamydia screening measure as being sexually active by any of the following:

Pregnancy test or diagnosis.
Claim/encounter/procedure noting sexual activity.
Contraceptive medication (see CBI Technical Specifications for a full list of medications).

Members may report that they are not sexually active, but if they are prescribed contraceptive medication, they are included in the measure regardless of the reason for the prescription.

This measure is important for capturing chlamydia early to prevent pelvic inflammatory disease, infertility and ectopic pregnancy.[1] If a member is on contraceptive medication, we recommend capturing a urine test at their annual well-visit as a precaution.

[1] National Committee for Quality Assurance. Chlamydia Screening (CHL). Retrieved October 13, 2025 from: https://www.ncqa.org/report-cards/health-plans/state-of-health-care-quality-report/chlamydia-screening-chl/

Cultural and Linguistic Services

Can providers or members access indigenous interpreters through Natividad?

Member Reassignment Threshold

Can the Alliance provide information on the submission of the member reassignment form and its impact on the performance target measure in CBI?

Member Services

Why do some patients have duplicate IDs and why are patients who moved out of the area still assigned to their original clinic? How should providers handle this situation?

These issues can be due to a few different reasons, such as a member being eligible for Medi-Cal under different programs or outdated member demographic information at the Department of Health Care Services (DHCS).

It is the member or member’s parent/guardian’s responsibility to update their information through the Medi-Cal County office. Members, parents and guardians can call their county’s Medi-Cal office directly to report when they are issued two active ID numbers or have moved out of the area.

Member Services is available to assist members with questions about their ID or assignment Monday through Friday, from 8 a.m. to 5:30 p.m. at 800-700-3874.

How can providers remove deceased patients as members from their clinic or practice?

Resources

What resources or training are available to help staff learn about the CBI program?

Contact Provider Services

General	831-430-5504
Claims Billing questions, claims status, general claims information	831-430-5503
Authorizations General authorization information or questions	831-430-5506
Authorization Status Checking the status of submitted authorizations	831-430-5511
Pharmacy Authorizations, general pharmacy information or questions	831-430-5507