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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.

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.

SHAT Forms (Staying Healthy Assessment Tool)
   Instructions for Administration and Reimbursement
  SHAT Counseling and Resource Guide
Forms for Parents
0 – 3 years English Spanish Chinese Vietnamese Russian Hmong Lao
4 – 8 years English Spanish Chinese Vietnamese Russian Hmong Lao
9 – 11 years English Spanish Chinese Vietnamese Russian Hmong Lao
Forms for Teens and Young Adults
12 – 17 years English Spanish Chinese Vietnamese Russian Hmong Lao
18+ years English Spanish Chinese Vietnamese Russian Hmong Lao
Staying Healthy Tip Sheets - English
0 - 3 years 4 - 8 years 9 - 11 years 12 - 17 years 18+ years
Staying Healthy Tip Sheets - Español
0 - 3 años 4 - 8 años 9 - 11 años 12 - 17 años 18+ años



© Health Plan of San Mateo