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Pay for Performance Quality Initiative for Medi-Cal

HPSM launched its first pay for performance (P4P) program for Medi-Cal in January 2008. This quality initiative improves care by aligning preventive care providers want to provide, as recommended by evidence-based best practices, with financial incentives that demonstrate HPSM values the time providers spend on delivering preventive care to our Medi-Cal members. Contact P4P Specialist, Nicole Ford, MPH at (650) 616-2169 for questions.

P4P Measures, Incentives and Requirements
P4P Fast Guide

P4P Forms and Coding Tip Sheets

For some P4P measures, providers are required to complete and fax forms to HPSM to receive their incentive payments. Specific CPT codes and modifiers may also be required when billing HPSM. All forms must be faxed to (650) 829-2009.

To order printed copies, complete the P4P Materials Order Form. Print and fax to HPSM.

Download forms

SHAT forms (Staying Healthy Assessment Tool)

Instructions for Administration and Reimbursement
SHAT Counseling and Resource Guide

Forms for Parents


Forms for Teens and Young Adults



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