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:

To schedule your training, please contact:

Alliance Provider Services Department

Monday – Friday, 7:30 am – 5 pm

Health Education Resources

Referrals and handouts are available for use when providing counseling and guidance on topics covered by the SHA.

If you have any questions or want to integrate the SHA into your Electronic Health Record or use an alternate format, please contact:

Alliance Health Programs
Phone Number: 1.510.747.6038
Email: livehealthy@alamedaalliance.org