Health Risk Assessment

Cal MediConnect plans will use a Health Risk Assessment (HRA) to evaluate an enrollee’s current status and establish a platform to begin building care management and to develop the enrollee’s individual care plan.  The assessment identifies an enrollee’s primary, acute, long-term services and supports, and behavioral health and functional needs including:

  • Behavioral health needs
  • Substance use needs
  • Chronic conditions
  • Disabilities
  • Functional impairments
  • Assistance in key activities of daily living
  • Cognitive and mental status

Guidance to Plans

Read the final guidance to plans on the Health Risk Assessment:

Read the draft guidance circulated for stakeholder review:

More Information