Health Risk Assessments
Note: Some links on this page may require
Initial Health Assessment (IHA) Overview and Staying Healthy Assessment (SHA) Training
Please take a few minutes to view the training at the link below. At the end of the training, which is less than 15 minutes in length, please be sure to click the link and follow the instructions to input you name, title, and clinic name so we know you have participated. If you have any questions about the SHA training, please ask for a QI nurse at (831) 430-2622.
Staying Healthy Assessment: A State-Mandated Individual Risk Assessment Tool
The California Department of Health Care Services (DHCS) requires primary care providers to administer a Staying Healthy Assessment (SHA) on all Medi-Cal managed care members within 120 days of enrollment with the Alliance and again at defined intervals. The Staying Healthy Assessment is the mandated assessment tool.
The DHCS website has background information, the MMCD Policy Letter, copies of the SHA forms, and additional resources such as Behavioral Risk Topics At-A-Glance, Adult Questions by Age Group, Pediatric Questions by Age Group, Provider Office Instructions Sheet, and more.
The Staying Healthy Assessment is an age-appropriate questionnaire designed to be self-administered by the patient or parent. Alternatively, the patient or parent may be asked SHA questions verbally and responses recorded directly in the patient's electronic medical record. Per State requirements, the tool must be administered at the Initial Health Assessment and again at defined age intervals. The tool design helps providers to quickly identify patient needs for health education counseling and services.
The Periodicity of SHA administration is summarized in the below table:
• More information about how and when to use the SHA can be found via the
• The SHA Questionnaires in all of the California threshold languages are available
from the DHCS website:
• The Alliance also supplies bulk quantities of the SHA Questionnaires to Alliance
Providers on request. Use the fax-in Staying Healthy Assessment Order Form to
request SHA Questionnaires in various threshold languages.
If you have questions or need assistance with health education referrals for your patients, please contact the Health Education Line at (800) 700-3874 ext. 5580.