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:

Provider Training on the SHA

All PCPs in the Alliance network 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:

IMPORTANT: After completing the training, please complete and send the Alliance a signed SHA Attestation form. The attestation may be signed by a clinic lead to attest that they have trained all of the providers in their clinic.

Y tế giáo dục tài nguyên

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