Pay for Performance Quality Initiative
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.
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 copies, complete the
P4P Materials Order Form and fax to HPSM.
Download Forms
Staying Healthy Assessment Tools
Instructions for Administration and Reimbursement
Forms for Parents
0 – 3 Years
4 – 8 Years
9 – 11 Years
Forms for Teens and Young Adults
12 – 17 Years
18+ Years
Staying Healthy Tip Sheets - English
Staying Healthy Tip Sheets - Español