A State-Mandated Individual Risk Assessment Tool
The California Department of Health Services (DHS) requires primary care providers to perform an individual behavioral risk assessment on all Medi-Cal managed care members within 120 days of enrollment and again at defined intervals. Staying Healthy is the mandated assessment tool.
Using the Staying Healthy Tool
Staying Healthy Forms and Patient Handouts
|
|
•Lao |
Using the Staying Healthy Assessment
The Staying Healthy Assessment is an age-appropriate questionnaire designed to be self-administered by the patient or parent (or with assistance for patients with reading or comprehension difficulties). Per State requirements, the tool must be administered at the initial health exam and again at five defined age intervals. The tool design helps providers to quickly identify patient needs for health education counseling and services. The patient handouts for each age level reinforce health education messages.
Staying Healthy Provider Checklist
How to Use the Staying Healthy Assessment
Alliance Health Education Benefits
(asthma, breastfeeding, diabetes, and medical nutrition therapy)
Community Referral Resources
DHS Staying Healthy Assessment Counseling and Resource Guide
If you have questions or would like help locating health education referrals
for your patients, please contact the
Senior Health Educator (831) 430-5570.
Staying Healthy Forms and Patient Handouts
Click on the links below to download .pdf versions of the assessment forms and handouts in English, Spanish, Chinese, Hmong, Lao, Russian, and Vietnamese. (All non-English Assessment forms have English subtitles throughout.) The Alliance also supplies bulk quantities of the forms to Alliance providers on request. Use the fax-in Staying Healthy Assessment Order Form.