The Department of Health Care Services (DHCS) requires the Alliance network of primary care providers (PCPs) to ask Alliance members to complete the Staying Healthy Assessment (SHA) or approved alternate Individual Health Education Behavioral Assessment (IHEBA) within 120 days of enrollment and periodically thereafter.

To access the forms and guidelines for administering the SHA, please visit DHCS .

SHA Forms

DHCS has SHA forms  available for the following age groups:

• 0-6 months
• 1-2 years
• 3-4 years
• 9-11 years
• 12-17 years
• Adults and seniors

The assessments are available online in the following languages: English, Spanish, Chinese Vietnamese, Armenian, Hmong, Korean, Russian, and Tagalog.

To request for the SHA form in a different language, or alternative format, please contact:

Alliance Provider Services Department

Monday – Friday, 7:30 am – 5 pm

Phone Number: 1.510.747.4510

Fax: 1.877.747.4508

Email: providerservices@alamedaalliance.org

Provider Training on the SHA

All Alliance Primary Care Providers must be trained on how to implement the SHA. If you have not yet completed the training, please do so as soon as possible.

Providers have the following options for training:

• View the SHA Provider Training
• Request a presentation for your staff at your clinic site.

To schedule your training, please contact:

Alliance Provider Services Department

Monday – Friday, 7:30 am – 5 pm