Provider Notifications

CIS-10: Childhood Immunizations (Combo 10) 

If April 2026 eReport determined member is eligible and noncompliant, AND: 

• Clinic administered OR collected immunization records or found California Immunization Registry (CAIR) evidence that member received four DTaP, three IPV, one MMR, three HiB, three HepB, one VZV, four PCV, one HepA, two RV, and two flu immunizations by second birthday. 

If April 2026 eReport determined member is eligible and noncompliant, AND: 

IHA: Initial Health Assessment 

If April 2026 eReport determined member is eligible and noncompliant and BOTH of the following conditions are met: 

• Clinic attempted three or more outreach attempts to member within the first 90 days of assignment. Clinics may verify assignment date using Column N of the eReport titled “Active Engagement Report”. Clinic must additionally provide all dates of attempted outreach per attested member in a separate tab of the attestation document. NOTE: Attestations for outreach attempts eligible for partial credit only. 

• Clinic must send an email to [email protected] containing EITHER a brief narrative describing outreach efforts to new patients OR phone/text message scripting, outreach letters, or other evidence of standard materials used to activate patients into primary care. 

W30-6: Well Child Visits (0-15 months)  

If April 2026 eReport determined member is eligible and noncompliant and ANY of the following conditions are met: 

• One or more visits were performed in the child’s first 30 days of life before Medi-Cal enrollment and this visit(s) was billed under the parent’s Medi-Cal ID. 

• Child became Medi-Cal enrolled after a non-HPSM provider performed one or more well visits (bringing total to at least six on or before the 15th month birthday). 

COL: Colorectal Screening

If April 2026 eReport determined member is eligible and noncompliant, AND: 

• Clinic has documented evidence that member received any of the following services before being assigned to current panel: 

• Fecal occult blood test (FOBT) between January 2025 – December 2025 

• Stool DNA with FIT test between January 2023 – December 2025 

• Flexible sigmoidoscopy between January 2021 – December 2025 

• CT colonography between January 2021 – December 2025 

• Colonoscopy between January 2016 – December 2025 

HPSM will NOT accept attestations for services rendered by the currently assigned provider, as these should be reported via standard claims or supplemental data processes.

FLU: Seasonal Flu Vaccine