The Initial Health Assessment (IHA) is a comprehensive preliminary evaluation required by the California Department of Health Care Services. It is completed during the patient's first visit with their primary care physician (PCP), appropriate medical specialist, or non-physician medical provider, and must be documented in the patient's medical records. The IHA enables the patient's PCP to assess and manage any acute, chronic, and preventive health needs the patient may have.
All new SCFHP members must have a complete IHA on file within 120 calendar days of their enrollment in SCFHP. SCFHP monitors IHA compliance on a quarterly basis. Login to Provider Link at providerportal.scfhp.com to access your list of new SCFHP members.
If you are unsuccessful in reaching your patient and scheduling an IHA visit, be sure to document that you made a minimum of three attempts to contact them. Please use non-paying HCPCS code G9604 or ICD-10 code Y93.9 to notify us that you have attempted to schedule a visit. And credit can be given for the IHA in the Facility Site Review Medical Record Review if you document your three attempts on your patient’s medical record. Please see the SCFHP website for more complete information on IHA.