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Initial Health Assessment

Initial Health Assessment

Background

The Initial Health Assessment (IHA) is a Medi-Cal requirement for all new members to Santa Clara Family Health Plan (SCFHP). It is a comprehensive assessment completed during a new member’s initial encounter(s) with a selected or assigned primary care provider. The IHA must be completed within 120 calendar days of enrollment into SCFHP and documented in the medical record.

New members are defined as not enrolled with SCFHP at any time within the last 12 months. New members can be identified through the SCFHP online eligibility look-up. Please contact SCFHP Provider Network Management if you need an account or need help accessing your account.

For more information about the IHA, refer to the provider manual.

  • SCFHP website for the Staying Healthy Assessment Tool
  • Who can perform the IHA. When an advanced practitioner performs the IHA, the PCP must ensure that documentation of the IHA is contained in the member's primary medical record, and completed in an accurate and comprehensive manner.
  • Outreach. If you are attempting to schedule the IHA with a new member, but are not having success or cannot reach the member to schedule it, make sure to document a minimum of three attempts to reach the member in the medical record. Credit can be given for the IHA in Facility Site Review Medical Record Review if it can be shown you made a reasonable attempt to schedule the member.

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IMPORTANT NUMBERS
Customer Service
1-408-874-1788